Laparoscopic Treatment of Intrahepatic Duct Stone
- 1 June 2004
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
- Vol. 14 (3), 157-162
- https://doi.org/10.1097/01.sle.0000129394.65371.0b
Abstract
Between October 1998 and November 1999, 12 patients with IHD stones, without severe ductal stricture, adhesion due to previous exploration, intrahepatic abscess or suspicious malignancy, were in the subjects of this study. A 4-port-technique was performed, with a 4-way flexible choledochoscope, via a choledochotomy, for removal of the stones. The postoperative follow-up for recurrent stones was performed with a cholangiogram and an ultrasonogram, and the quality of life was evaluated by a questionnaire for the symptoms. The mean operating time was 288.3 (150–420) minutes. There was only one postoperative complication, but no intraoperative transfusions or perioperative mortality. Remnant stones were detected in 1 patient on the final T-tube cholangiogram, which was removed by percutaneous choledochoscopy, through the tract matured by the T-tube. There were no cholangitis or recurrent stones during the mean follow-up period of 31.4 (10–45) months. With increasing demand for minimal invasiveness, the laparoscopic treatment of IHD stones could be an effective option.Keywords
This publication has 17 references indexed in Scilit:
- Laparoscopic cholecystectomy and common bile duct exploration are safe for older patientsSurgical Endoscopy, 2002
- Clinical significance of intrahepatic biliary stricture in efficacy of hepatic resection for intrahepatic stonesJournal of Hepato-Biliary-Pancreatic Surgery, 1998
- Primary Biliary Stones: Diagnosis and ManagementWorld Journal of Surgery, 1998
- Endoscopic electrohydraulic lithotripsy in the management of pancreatobiliary lithiasis.Surgical Endoscopy, 1998
- Hepatolithiasis: Outcome of cholangioscopic lithotomy and dilation of bile duct strictureSurgery, 1998
- Benign biliary strictures associated with recurrent pyogenic cholangitis: treatment with expandable metallic stents.American Journal of Roentgenology, 1997
- Reappraisal of the Systematic Management of Complicated Hepatolithiasis With Bilateral Intrahepatic Biliary StricturesArchives of Surgery, 1996
- Surgical management of strictures of the major bile ducts in recurrent pyogenic cholangitisBritish Journal of Surgery, 1987
- Percutaneous removal of residual intrahepatic stones.Radiology, 1987
- Choledochofiberoscopy in the postoperative management of intrahepatic stonesThe American Journal of Surgery, 1980