|
KMID : 0365819910310020091
|
|
Journal of Pusan Medical College
1991 Volume.31 No. 2 p.91 ~ p.98
|
|
|
A Clinical study on choledocholithiasis and hepatolithiasis
|
|
|
|
|
Abstract
|
|
|
The biliary calculous disease of Korean is characterized by high incidence choledocholithiasis and hepatolithiasis. Their pathogenesis and treatment still remain to be controversial. These diseases are major concern to surgeons in Korea because residual or recurrent stones are common and patients frequently succumb to hepatic damage due to obstructive jaundice and cholangitis. The author carried out a retrospective clinical review and analysis of 10 year experience (Jan. 1981 - Dec. 1990) with 384 cases of patients with choledocholithiasis at the Department of Surgery, Pusan National University Hospital.
The results obtained were summarized as follows
1) In the sex ratio, female (225 cases) predominated male (159 cases) with a ratio of 1 : 1.42. The age distribution shows that the maximal incidence was in forties with 131 cases (34.1%).
2) The chief presenting symptoms and signs were RUQ´ pain with 371 cases (96.7%) and RUQ tenderness with 363 cases (94.5%) respectively.
3) The location of stone was CBD" in 192 cases (50.0%), GB´ and CBD in 84 cases (21.9%), and CBD and IHD"" in 57 cases (14.8%), calculi in IHD predominantly located in the bile duct on left lobe (45.4%).
4) Operative procedures performed were cholecystectomy with T-tube drainage in 214 cases (55.7%), transduodenal sphincteroplasty in 81 cases (2L1%), choledochoenterostomy in 53 cases (13.8%) and hepatic resection in 22 cases (5.7%).
5) Postoperative complications were residual stone in 36 cases (9.5%), wound infection in 33 cases (8.6%), and pulmonary complication in 19 cases (4.9%). Postoperative mortality was 4.7% (18/384) and the most common cause of death was sepsis.
*RUQ : right upper quadrant
"CBD : common bile duct
"´GB gall bladder
""IHD intrahepatic duct
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|