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Surgical therapy for hepatolithiasis: a Western experience
- Source :
- Journal of the American College of Surgeons. 202(2)
- Publication Year :
- 2005
-
Abstract
- Background Hepatolithiasis is very common in East Asia but infrequent in Western countries, and few reports have been published in European series. In East Asia, the association between cholangiocarcinoma and hepatolithiasis is well recognized, but, on the contrary, hepatolithiasis is uncommon in Europe and the United States, and the relationship with cholangiocarcinoma is not well established. The goal of this study was to analyze the perioperative and longterm results of surgical therapy for hepatolithiasis. Study design Record review of 22 patients was done to locate immediate (operative morbidity and mortality) and longterm (stone recurrence and survival) results of patients with hepatolithiasis who underwent surgical treatment. Results There were 19 (86.4%) hepatic resections and 10 (45.5%) hepaticojejunoanastomoses. Operative mortality was absent and morbidity rate was 27.3%. Right hepatectomy was predictive of postoperative complications at multivariate analysis (p = 0.04). One (4.5%) patient had an unknown associated cholangiocarcinoma at time of surgical intervention. Mean followup was 67.59 ± 65.67 (range 12 to 215) months. None presented recurrent cholangitis during the followup period. Conclusions Surgical therapy is a safe and effective management for hepatolithiasis. The possibility of developing cholangiocarcinoma in inveterate hepatolithiasis is real, and hepatic resection removes this risk.
- Subjects :
- Male
medicine.medical_specialty
Multivariate analysis
medicine.medical_treatment
Comorbidity
Calculi
medicine
Hepatectomy
Humans
Cholecystectomy
Aged
Retrospective Studies
HEPATOLITHIASIS
business.industry
Mortality rate
Liver Diseases
Retrospective cohort study
Perioperative
Middle Aged
medicine.disease
Surgery
LIVER RESECTION
BILIARY DISEASES
Multivariate Analysis
Female
Hepatolithiasis
business
Subjects
Details
- ISSN :
- 10727515
- Volume :
- 202
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of the American College of Surgeons
- Accession number :
- edsair.doi.dedup.....77f2eb47945bb6f5f4d3318576284a3e