Risk Factors for Long-term Outcomes after Initial Treatment in Hepatolithiasis.
10.3346/jkms.2013.28.11.1627
- Author:
Jin Seok PARK
1
;
Seok JEONG
;
Don Haeng LEE
;
Byoung Wook BANG
;
Jung Il LEE
;
Jin Woo LEE
;
Kye Sook KWON
;
Hyung Kil KIM
;
Yong Woon SHIN
;
Young Soo KIM
;
Shin Goo PARK
Author Information
1. Digestive Disease Center, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. inos@inha.ac.kr
- Publication Type:Original Article
- Keywords:
Cholelithiasis;
Bile Ducts;
Intrahepatic;
Risk Factors;
Complication
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Bile Ducts, Intrahepatic/*surgery;
Biliary Tract;
*Biliary Tract Surgical Procedures;
Cholestasis, Intrahepatic/*surgery;
*Endoscopy;
Female;
Gallstones/*surgery;
Hepatectomy;
Humans;
Liver/surgery;
Male;
Middle Aged;
Retrospective Studies;
Risk Factors;
Treatment Outcome
- From:Journal of Korean Medical Science
2013;28(11):1627-1631
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hepatobiliary complications, such as stone recurrence, recurrent cholangitis, liver abscess, secondary biliary cirrhosis, and cholangiocarcinoma may occur after treatment for hepatolithiasis. However, few previous studies have addressed the risk factors and long-term outcomes after initial treatment. Eighty-five patients with newly diagnosed hepatolithiasis, actively treated for hepatolithiasis, constituted the cohort of this retrospective study. Patients were treated by hepatectomy or nonoperative percutaneous transhepatic cholangioscopic lithotomy. Long-term complications, such as recurrent cholangitis, liver abscess, secondary biliary cirrhosis, and cholangiocarcinoma, and their relationships with clinical parameters were analyzed. The mean follow-up period was 57.4 months. The overall hepatobiliary complication rate after the treatment was 17.6%. Multivariate analysis of suspected risk factors showed that complications were associated with age (HR, 1.046; CI, 1.006-1.089), bile duct stricture (HR, 4.894; CI, 1.295-18.495), and residual stones (HR, 3.482; CI, 1.214-9.981). In conclusion, several long-term hepatobiliary complications occur after hepatolithiasis treatment, and regular observation is necessary in patients with concomitant biliary stricture or residual stones.
