Liver resection as the definitive treatment for unilateral non-oriental primary intrahepatic lithiasis

American Journal of Surgery
Paulo HermanJoaquim Gama Rodrigues

Abstract

The current study sought to evaluate the results of liver resection as the treatment for unilateral non-oriental primary intrahepatic lithiasis (PHIL). Twenty-seven symptomatic patients (mean age 42 years) were submitted to liver resection; the indications were parenchymal fibrosis/atrophy in 22 and biliary stenosis in 5. Resection was associated with a Roux-en-Y hepaticojejunostomy in patients with a significant degree of dilation of the extrahepatic biliary duct. There was no operative mortality and the morbidity rate was 7.4% (2 patients with biliary fistula). After a median follow-up of 41.2 months, the overall rate of good results was 92.6%. All patients submitted to liver resection alone presented good late results, while 80% of those with associated hepaticojejunostomy did not have complications (P = .12). Late complications were observed in 2 patients (7.4%): 1 with a liver abscess and 1 with cholangitis and recurrent stones. There was no mortality during long-term follow-up. Liver resection showed low incidence of complications and good long-term results. None of the patients with unilateral disease without associated extrahepatic bile duct dilation presented complications and they were considered cured. We believe tha...Continue Reading

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Citations

Nov 2, 2007·Surgical Endoscopy·M A C MachadoM C C Machado
Jul 16, 2010·World Journal of Gastroenterology : WJG·Paulo HermanIvan Cecconello
Oct 22, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Giuseppe Di GiuroIbrahim Dagher
Nov 30, 2012·Journal of Gastroenterology and Hepatology·Aowen XieFengping Peng
Apr 21, 2009·American Journal of Surgery·Ibrahim DagherDominique Franco
Apr 4, 2015·World Journal of Gastroenterology : WJG·Chang-Ku JiaWei-Ming Yu
Dec 21, 2019·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Orlando Jorge Martins TorresAntonio Nocchi Kalil
Dec 17, 2020·Asian Journal of Surgery·Orlando Jorge M TorresPaulo Herman

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