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KMID : 0978820050080010027
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2005 Volume.8 No. 1 p.27 ~ p.30
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Totally Laparoscopic Left Lateral Sectionectomy in Hepatolithiasis
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김성아/Kim SA
김태형/백종민/성기영/이도상/박일영/Kim TH/Baek JM/Sung GY/Lee DS/Park IY
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Abstract
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According to the current therapeutic strategy for intrahepatic stones, hepatectomy seems to be the most effective treatment for the patients with isolated hepatolithiasis. Recently laparoscopic liver resection has been proved to a feasible method of treatment of these patients. We report a left lateral sectionectomy by total laparoscopic approach. A 39-year-old woman was admitted for right upper quadrant abdominal pain. Ultrasonography and computed tomography revealed common bile duct and left intrahepatic duct stones. Left lateral sectioncetomy, cholecystectomy and T-tube choledochostomy were performed by totally laparoscopic procedure. The specimenwas removed through the 12 mm port site without extension. Estimated blood loss was 200 ml. She was discharged on postoperative 10th days. No transfusion was required. There was no bile leakage and gas embolism. Totally laparoscopic lateral sectionectomy is safe and an effective method of treatment for patients with intrahepatic stones.
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KEYWORD
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