Reappraisal of the systematic management of complicated hepatolithiasis with bilateral intrahepatic biliary strictures

Archives of Surgery
K S JengF S Yang

Abstract

To compare the results, limitations, and complications of the surgical treatment of bilateral hepatolithiasis and intrahepatic biliary strictures with left hepatectomy and without left hepatectomy. Case-controlled study. Referral center. During a 12-year period, 103 patients with bilateral hepatolithiasis and intrahepatic biliary strictures underwent surgical treatment. Group A (n = 73) received left hepatic resection (lateral segmentectomy or lobectomy) and postoperative biliary dilatation with residual stone extraction. Group B (n = 30) underwent the same procedures except for left hepatectomy. Left lateral segmentectomy or left lobectomy, choledocholithotomy, postoperative cholangioscopic treatments (electrohydraulic lithotripsy, other lithotripsy, lithotomy, balloon dilatation, etc. via T tube or precutaneous transhepatic route). Days of hospitalization, incidence of major and minor complications, mortality rates, and the rates of residual stones and stone recurrence were compared. Group A and B had similarly low postoperative 1-month mortality rates of 5.5% and 6.7%, respectively. The main cause of death in both groups was uncontrollable septicemia. The main major complications in group A were intra-abdominal abscess and u...Continue Reading

Citations

Aug 1, 2014·International Journal of Surgery·Mohamed I KassemHassan A El-Bahrawy
Jun 12, 2014·International Journal of Surgery·Fazl Q ParrayNazir A Wani
Aug 7, 1999·Journal of the American College of Surgeons·K OtaniM Tanaka
Oct 12, 2002·Asian Journal of Surgery·Russell W StrongStephen V Lynch
Aug 14, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Nicolás JarufeFernando Pimentel
Mar 26, 1998·Baillière's Clinical Gastroenterology·J W Leung, A S Yu
Mar 3, 2009·American Journal of Surgery·Takahiro UenishiShoji Kubo
Jun 20, 2001·The British Journal of Surgery·M H GreenN V Jamieson
Dec 25, 2009·Annals of Surgery·Tian YangMeng-Chao Wu
Oct 9, 2004·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ho-Seong Han, Nam-Joon Yi
Jul 13, 2006·Annals of the Royal College of Surgeons of England·Marco CatenaGianfranco Ferla

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