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- Scopus: eid_2-s2.0-0025859164
- PMID: 2008653
- WOS: WOS:A1991FF16600005
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Article: Treatment of hepatolithiasis: Improvement of result by a systematic approach
Title | Treatment of hepatolithiasis: Improvement of result by a systematic approach |
---|---|
Authors | |
Issue Date | 1991 |
Publisher | Mosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/surg |
Citation | Surgery, 1991, v. 109 n. 4, p. 474-480 How to Cite? |
Abstract | In previous decades the result of treatment of hepatolithiasis has been unsatisfactory. The incidence of residual stones after surgery might reach 77%. In the past 6 years we adopted a systematic approach comprised of accurate delineation of disease in the liver and biliary tract by direct cholangiography, ultrasonography, and computed tomography; tailored surgical treatment according to the extent of involvement of the liver and biliary tract; access to the intrahepatic ducts through the left duct or round ligament approach when there was difficulty with common bile duct exposure; routine use of flexible choledochoscopy; and application of electrohydraulic lithotripsy for large and impacted stones. Complete stone clearance was achieved in 114 of 127 patients (89.8%). Of those patients who had incomplete stone clearance, only six cases (4.7%) were related to technical failure of postoperative choledochoscopy. The incidence of stone recurrence was 15.8%, the lowest rate so far reported. It was the same regardless of whether a biliary drainage procedure had been performed, but the treatment for recurrent stones was facilitated by previous hepaticocutaneous jejunostomy. Overall the surgical treatment required for stone recurrence was of a lesser magnitude than that in the past. |
Persistent Identifier | http://hdl.handle.net/10722/172647 |
ISSN | 2023 Impact Factor: 3.2 2023 SCImago Journal Rankings: 1.096 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Fan, ST | en_HK |
dc.contributor.author | Choi, TK | en_HK |
dc.contributor.author | Lo, CM | en_HK |
dc.contributor.author | Piktim Mok, F | en_HK |
dc.contributor.author | Cheuckseen Lai, E | en_HK |
dc.contributor.author | Wong, J | en_HK |
dc.date.accessioned | 2012-10-30T06:24:00Z | - |
dc.date.available | 2012-10-30T06:24:00Z | - |
dc.date.issued | 1991 | en_HK |
dc.identifier.citation | Surgery, 1991, v. 109 n. 4, p. 474-480 | en_HK |
dc.identifier.issn | 0039-6060 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/172647 | - |
dc.description.abstract | In previous decades the result of treatment of hepatolithiasis has been unsatisfactory. The incidence of residual stones after surgery might reach 77%. In the past 6 years we adopted a systematic approach comprised of accurate delineation of disease in the liver and biliary tract by direct cholangiography, ultrasonography, and computed tomography; tailored surgical treatment according to the extent of involvement of the liver and biliary tract; access to the intrahepatic ducts through the left duct or round ligament approach when there was difficulty with common bile duct exposure; routine use of flexible choledochoscopy; and application of electrohydraulic lithotripsy for large and impacted stones. Complete stone clearance was achieved in 114 of 127 patients (89.8%). Of those patients who had incomplete stone clearance, only six cases (4.7%) were related to technical failure of postoperative choledochoscopy. The incidence of stone recurrence was 15.8%, the lowest rate so far reported. It was the same regardless of whether a biliary drainage procedure had been performed, but the treatment for recurrent stones was facilitated by previous hepaticocutaneous jejunostomy. Overall the surgical treatment required for stone recurrence was of a lesser magnitude than that in the past. | en_HK |
dc.language | eng | en_US |
dc.publisher | Mosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/surg | en_HK |
dc.relation.ispartof | Surgery | en_HK |
dc.subject.mesh | Adolescent | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Aged | en_US |
dc.subject.mesh | Aged, 80 And Over | en_US |
dc.subject.mesh | Bile Ducts, Intrahepatic | en_US |
dc.subject.mesh | Cholelithiasis - Diagnosis - Therapy | en_US |
dc.subject.mesh | Combined Modality Therapy | en_US |
dc.subject.mesh | Emergencies | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Follow-Up Studies | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Recurrence | en_US |
dc.subject.mesh | Retrospective Studies | en_US |
dc.title | Treatment of hepatolithiasis: Improvement of result by a systematic approach | en_HK |
dc.type | Article | en_HK |
dc.identifier.email | Fan, ST: stfan@hku.hk | en_HK |
dc.identifier.email | Lo, CM: chungmlo@hkucc.hku.hk | en_HK |
dc.identifier.email | Wong, J: jwong@hkucc.hku.hk | en_HK |
dc.identifier.authority | Fan, ST=rp00355 | en_HK |
dc.identifier.authority | Lo, CM=rp00412 | en_HK |
dc.identifier.authority | Wong, J=rp00322 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.pmid | 2008653 | - |
dc.identifier.scopus | eid_2-s2.0-0025859164 | en_HK |
dc.identifier.volume | 109 | en_HK |
dc.identifier.issue | 4 | en_HK |
dc.identifier.spage | 474 | en_HK |
dc.identifier.epage | 480 | en_HK |
dc.identifier.isi | WOS:A1991FF16600005 | - |
dc.publisher.place | United States | en_HK |
dc.identifier.scopusauthorid | Fan, ST=7402678224 | en_HK |
dc.identifier.scopusauthorid | Choi, TK=7202770029 | en_HK |
dc.identifier.scopusauthorid | Lo, CM=7401771672 | en_HK |
dc.identifier.scopusauthorid | Piktim Mok, F=6505707181 | en_HK |
dc.identifier.scopusauthorid | Cheuckseen Lai, E=6504174288 | en_HK |
dc.identifier.scopusauthorid | Wong, J=8049324500 | en_HK |
dc.identifier.issnl | 0039-6060 | - |