127 consecutive cases of biliary stones who were surgically managed at N.P.H. during 5 year period from Jan. 1978 to Dec. 1982 were reviewed and the results are as following.
1) The age of peak incidence is noted at the fourth decade of life and the mean age is 48.5 years old.
2) The male to female ratio is 1:1.19.
3) The most predominant symptom is abdominal pain (R.U.Q.), and the predominant signs on physical examinations are tenderness on R.U.Q. and jaundice.
4) There is leukocytosis in 65 cases (51%), and increase of total bilirubin (above 3. 0 mg %) in 55 cases (43.3%), increase of alkaline phosphatase (abovel3K-KUnit) in 59 cases (46.5 %). There is increase of S.G.O.T. in 90 cases of 124(48.4%).
5) Of the 127 cases, the G.B. stone is found in 72 cases (56.7%), C.B.D. stone is found in 80 cases (63%), intrahepatic stone is found in 12 cases (9.4%).
6) The 41 cases of bile cultures result in positive growth except 11 cases of no growth, and the majority group is E. coli in 18 cases (43.9%).
7) The most common technique of operation is cholecystectomy with T-tube choledochostomy in 75 cases (55.5%).
8) The most frequent postoperative complication is wound infection in 7 cases (5. 5%).
9) The recurrent stone is in 8 cases (6.3%).
10) Gastric ulcer (3 cases) and hypertension (3 cases) are the most common combined diseases.
11) Ascariasis is found in 2 cases in C.B.D. and Clonorchiasis sinensis is found in 2 cases in intrahepatic duct.
12) The montality rate is 2.4%(3 cases) and causes of death are sepsis (2 cases), heart failure (l case).
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