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Treatment of Intrahepatic Lithiasis

  • Yuji Nimura

Abstract

The percutaneous approach for the non-surgical treatment of intrahepatic stones was developed with flexible cholangioscopy via a T-tube sinus tract to remove retained intrahepatic stones after intraoperative choledochohepaticolithotomy through choledochotomy [1, 2]. Another route of percutaneous cholangioscopic lithotomy was established through choledochojejunostomy with subcutaneous jejunostomy after intraoperative choledochohepaticolithotomy [3]. Further development of interventional techniques and fiber optic flexible cholangioscopes enabled percutaneous transhepatic cholangioscopy (PTCS) via dilated sinus tract of percutaneous transhepatic biliary drainage (PTBD) (Fig. 39.1) [4, 5, 6, 7, 8].

Keywords

Biliary Stenosis Percutaneous Transhepatic Biliary Drainage Residual Stone Left Hepatic Duct Intrahepatic Stone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Yuji Nimura
    • 1
  1. 1.Department of Digestive SurgeryAichi Cancer CenterNagoyaJapan

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