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KMID : 0870419990030010059
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
1999 Volume.3 No. 1 p.59 ~ p.68
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Analysis of Surgical Treatments for Hepatolithiasis According to the Site of Biliary stenosis
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Park Sook-Je
Yoon Jin
Kim Il-Myoung
Park Sang-Su
Yang Dae-Hyun
Yu Byoung-Uk
Choi Won-Jin
Ahn Seung-Ick
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Abstract
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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.
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KEYWORD
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Hepatolithiasis, Biliary stenosis, Hepatic resection
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