Analysis of Surgical Treatments for Hepatolithiasis According to the Site of Biliary stenosis.
- Author:
Sook Je PARK
1
;
Jin YOON
;
Il Myung KIM
;
Sang Su PARK
;
Dae Hyun YANG
;
Byung Ook YOO
;
Won Jin CHOI
;
Seung Ik AHN
Author Information
1. Department of Surgery, Kangnam General Hospital Public Corporation.
- Publication Type:Original Article
- Keywords:
Hepatolithiasis;
Biliary stenosis;
Hepatic resection
- MeSH:
Asia, Southeastern;
Cholangitis;
Constriction, Pathologic*;
Drainage;
Follow-Up Studies;
Hepatectomy;
Hospitals, General;
Humans;
Incidence;
Jaundice, Obstructive;
Liver Abscess;
Retrospective Studies;
Sepsis
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
1999;3(1):59-68
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Hepatolithiasis is found predominantly in Southeast Asia and although it is a pathophysiologically benign disease, it frequently causes serious problems such as recurrent cholangitis, liver abscess, obstructive jaundice and sepsis. As a result it is said to be a clinically malignant disease. In order to select the best surgical treatment according to location of biliary stenosis, we analyzed the clinical manifestation of hepatolithiasis and follow-up results. METHODS: We retrospectively reviewed 42 cases of hepatolithiasis treated by various surgical treatments from Jan. 1987 to Jun. 1998 at the Department of Surgery of Kangnam General Hospital. RESULTS: In cases where the site of biliary stenosis was limited to the left intrahepatic duct, the relative incidence of good results was higher in the hepatectomy group(88.2%) than in the drainage group(0%). And in cases of biliary stenosis in both intrahepatic ducts, the relative incidence of good results was higher in the hepatectomy group(33.3%) than in the drainage group(0%). And in cases of no biliary stenosis, the relative incidence of good results was high(66.7%) even in the drainage group. CONCLUSION: Hepatic resection is a satisfactory treatment option for patients with hepatolithiasis, especially in the cases of biliary stenosis.
