Korean J Hepatobiliary Pancreat Surg.
1999 Feb;3(1):59-68.
Analysis of Surgical Treatments for Hepatolithiasis According to the Site of Biliary stenosis
- Affiliations
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- 1Department of Surgery, Kangnam General Hospital Public Corporation.
- 2Department of Surgery, College of Medicine, Gnagwon National University.
- 3Department of Surgery, College of Medicine, Inha University.
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.
