Open AccessSurgical Management of Intrahepatic Gallstones
Author(s) -
Toshio Sato,
Noriyoshi Suzuki,
Wataru Takahashi,
I Uematsu
Publication year - 1980
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198007000-00005
Subject(s) - medicine , gallstones , hepatic function , gastroenterology , surgery , biliary tract , liver function , general surgery
The results of surgical treatment in 100 patients with intrahepatic gallstones are reported including follow-up on 61 patients who survived more than three years. Nine patients died in the follow-up period, and of the remainder, 44 showed complete rehabilitation (72%). The results of follow-up examinations were best shown by improvement in the tests of hepatic function when compared with the values at the time of discharge. However, in those patients with a long duration of illness, or with residual stones or with impairment of liver function, many claimed persistent complaints and showed abnormal late values of hepatic function. Patients with intrahepatic gallstones are best managed: 1) removal of all gallstones as thoroughly as possible, 2) additional procedures to eliminate bile stasis and permit residual stones to enter the intestinal tract and 3) irrigation of the biliary ducts to remove remaining stones.