Choledocholithiasis and hepatolithiasis are more common in East Asia including Korea compared with the West and the retained and recurrent stones remain a major problem after the surgical treatment of the biliary tract stones, thus a various
attempts
reducing the rate of the retained and recurrent stones are important in the treatment of the biliary tract stones.
Retrospective analysis was done from 142 cases with the biliary tract stones who underwent an operation at the Department of Surgery, Kang Nam General Hospital, Public Corportion for 9 years from january 1985 to December 1993.
@ES The results were obtained as follows:
@EN 1) The male to female ratio was 1 : 1.5 and the most common age group was 7th decade.
2) The most common symptom and physical finding were RUQ pain in 101 cases(71.1%), RUQ tenderness in 90 cases(63.4%).
3) The positive laboratory findings were elevated alkaline phosphatase(85.9%), elevated SGPT and elevated SGOT.
4) The bile culture and sensitivity tests were done in 71 cases and were positive in 55 cases. The most common bacteria was E. coli in 28 cases(50.9%).
5) Location of stones was GB and CBD in 73 cases(51.4%), CBD in 39 cases(27.5%), CBD and IHD in 15 cases(10.6%) and GB, CBD and IHD in 8 cases(5.6%).
6) The most common operative procedure was cholecystectomy with T-tube choledochestomy in 101 cases(71.1%), and followed by drainage procedures and hepatic resection in 22 cases(15.5%) and 10 cases(7.1%), respectively.
7) The postoperative complication was developed in 31 cases(21.8%) and the most common postoperative comlication was wound infection in 17 17 cases(12.0%).
8) The operative mortality was 2.1% and the most common cause of death was sepsis.
|