Long-Term Results of Hepaticojejunostomy for Hepatolithiasis
| Autor: | T, Kusano, T T, Isa, Y, Muto, M, Otsubo, T, Yasaka, M, Furukawa |
|---|---|
| Rok vydání: | 2001 |
| Předmět: | |
| Zdroj: | The American Surgeon. 67:442-446 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/000313480106700512 |
| Popis: | The results of a hepaticojejunostomy as a biliary-enteric bypass for benign disease are usually excellent. On the other hand, hepatolithiasis features a high rate of residual and recurrent stones with cholangitis after surgery. This study aims to evaluate the long-term results of a hepaticojejunostomy for hepatolithiasis regarding both the degree of the occurrence of postoperative cholangitis and the outcome. The clinical records of 159 patients with hepatolithiasis who underwent surgical treatment over a 23-year period were also retrospectively reviewed. Ninety-four of 159 patients underwent a hepatecetomy and 65 patients were subjected to liver-preserving surgery by means of intra- and postoperative endoscopic lithotripsy. In addition 72 patients underwent a hepaticojejunostomy. The rate of residual or recurrent stones was 31.4 per cent after complete stone removal. Twenty-two (30.6%) of the 72 patients developed some kind of cholangitis. This rate was significantly higher than that (three of 87 patients) of the non-biliary-enteric anastomosis group regarding the occurrence of biliary complications. We conclude that the use of a hepaticojejunostomy for patients with possible residual stones or intrahepatic bile duct lesions remains controversial. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|