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Treatment of Intrahepatic Lithiasis

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Biliary Lithiasis
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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) [48].

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References

  1. Yamakawa T, Komaki F, Shikata J (1978) Experience with routine postoperative choledochoscopy via the T-tube sinus tract. World J Surg 2:379–385

    Article  PubMed  CAS  Google Scholar 

  2. Chen MF, Jan YY, Chou FF et al (1983) Use of fiberoptic choledochoscope in common bile duct and intrahepatic duct exploration. Gastrointest Endosc 29:276–278

    Article  PubMed  CAS  Google Scholar 

  3. Ker CG, Kuo KK, Tsai CC et al (1994) Evaluation if choledochojejunostomy with subcutaneous jejunostomy for treatment of intrahepatic stones. Int Surg 79:110–113

    PubMed  CAS  Google Scholar 

  4. Nimura Y, Hayakawa N, Toyoda S et al (1981) Percutaneous transhepatic cholangioscopy. Stomach Intestine (Japanese with English abstract) 16:681–689

    Google Scholar 

  5. Nimura Y (1984) Percutaneous transhepatic cholangioscopy (PTCS) in the treatment of intrahepatic stones. In: Sheen PC, Ker CG (eds) Gallstone and Choledochoscope. Kaohsiung, Mei Yue, pp 71–85

    Google Scholar 

  6. Nimura Y, Shionoya S, Hayakawa N et al (1988) Value of percutaneous transhepatic cholangioscopy (PTCS). Surg Endosc 2:213–219

    Article  PubMed  CAS  Google Scholar 

  7. Chen MF, Jan YY (1986) Percutaneous transhepatic removal of common bile duct and intrahepatic duct stones with a fiberoptic choledochoscope. Gastrointest Endosc 32:347–349

    Article  PubMed  CAS  Google Scholar 

  8. Chen MF, Jan YY, Lee TY (1987) Percutaneous transhepatic cholangioscopy. Br J Surg 74:728–730

    Article  PubMed  CAS  Google Scholar 

  9. Yeh YH, Huang MH, Yang JC et al (1995) Percutaneous trans-hepatic cholangioscopy and lithotripsy in the treatment of intrahepatic stones: a study with 5 year follow-up. Gastrointest Endosc 42:13–18

    Article  PubMed  CAS  Google Scholar 

  10. Kondo S, Nimura Y, Hayakawa N et al (1995) A clinicopathologic study of primary cholesterol hepatolithiasis. Hepatogastroenterology 42:478–486

    PubMed  CAS  Google Scholar 

  11. Strichartz SD, Abedin MZ, Ippoliti AF et al (1991) Intrahepatic cholesterol stones: a rationale for dissolution therapy. Gastroenterology 100:228–232

    PubMed  CAS  Google Scholar 

  12. Jan YY, Chen MF, Wang CS et al (1996) Surgical treatment of hepatolithiasis: long-term results. Surgery 120:509–514

    Article  PubMed  CAS  Google Scholar 

  13. Chen MF, Jan YY, Wang CS et al (1997) Role of hepatic resection in surgery for bilateral intrahepatic stones. Br J Surg 84:1229–1232

    Article  PubMed  CAS  Google Scholar 

  14. Chen DW, Poon RTP, Liu CL et al (2004) Immediate and long-term outcomes of hepatectomy for hepatolithiasis. Surgery 135:386–393

    Article  PubMed  Google Scholar 

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© 2008 Springer-Verlag Italia

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Nimura, Y. (2008). Treatment of Intrahepatic Lithiasis. In: Biliary Lithiasis. Springer, Milano. https://doi.org/10.1007/978-88-470-0763-5_39

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  • DOI: https://doi.org/10.1007/978-88-470-0763-5_39

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0762-8

  • Online ISBN: 978-88-470-0763-5

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