Does bilioenteric anastomosis impair results of liver resection in primary intrahepatic lithiasis?

World Journal of Gastroenterology : WJG
Paulo HermanIvan Cecconello

Abstract

To evaluate the long-term results of liver resection for the treatment of primary intrahepatic lithiasis. Prognostic factors, especially the impact of bilioenteric anastomosis on recurrence of symptoms were assessed. Forty one patients with intrahepatic stones and parenchyma fibrosis/atrophy and/or biliary stenosis were submitted to liver resection. Resection was associated with a Roux-en-Y hepaticojejunostomy in all patients with bilateral stones and in those with unilateral disease and dilation of the extrahepatic biliary duct (> 2 cm). Late results and risk factors for recurrence of symptoms or stones were evaluated. There was no operative mortality. After a mean follow-up of 50.3 mo, good late results were observed in 82.9% of patients; all patients submitted to liver resection alone and 58.8% of those submitted to liver resection and hepaticojejunostomy were free of symptoms (P = 0.0006). Patients with unilateral and bilateral disease showed good late results in 94.1% and 28.6%, respectively (P < 0.001). Recurrence of symptoms in patients with hepaticojejunostomy showed that this may not be the ideal solution. Further studies are needed to establish the best treatment for patients with bilateral stones or unilateral diseas...Continue Reading

References

Jul 1, 1990·World Journal of Surgery·T K Choi, J Wong
Apr 1, 1986·World Journal of Surgery·T K Choi, J Wong
Sep 1, 1993·Archives of Surgery·S T FanJ Wong
Jan 1, 1995·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·M SatoS Kimura
Oct 6, 1997·The British Journal of Surgery·M F ChenT C Chao
Aug 7, 1999·Journal of the American College of Surgeons·K OtaniM Tanaka
Jul 27, 2001·Journal of Clinical Gastroenterology·T KusanoM Furukawa
Mar 5, 2002·Archives of Surgery·Kazuhisa UchiyamaHiroki Yamaue
Apr 17, 2004·Journal of Clinical Gastroenterology·Jin-Hyeok HwangJi Bong Jeong
Jun 14, 2005·World Journal of Surgery·Paulo HermanMarcel C C Machado
Oct 19, 2005·Archives of Surgery·Moon-Tong Cheung, Philip Chong-Hei Kwok
Mar 15, 2006·American Journal of Surgery·Paulo HermanJoaquim Gama Rodrigues

❮ Previous
Next ❯

Citations

Apr 6, 2013·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Zhi-Jun JiangShu-Sen Zheng
Jul 16, 2013·IEEE Transactions on Biomedical Circuits and Systems·Ayodele SanniC Toumazou
Apr 4, 2015·World Journal of Gastroenterology : WJG·Chang-Ku JiaWei-Ming Yu
Dec 17, 2015·World Journal of Gastroenterology : WJG·Yu-Gui LianXiao-Si Zhou
Dec 13, 2016·Journal of Gastroenterology·Susumu TazumaTooru Shimosegawa
Dec 17, 2020·Asian Journal of Surgery·Orlando Jorge M TorresPaulo Herman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

American Journal of Surgery
Takahiro UenishiShoji Kubo
Best Practice & Research. Clinical Gastroenterology
Toshiyuki MoriYutaka Atomi
© 2021 Meta ULC. All rights reserved