Treatment of Intrahepatic Stones:A Special Reference to Hepatic Resection for the Surgical Management A. Kakita 1 , T. Takahashi 1 , M. Kambayashi 1 , M. Matsushita 1 , Y. Saji 1 1The First Department of Surgery, Hokkaido University, School of Medicine pp.419-425
Published Date 1984/4/25
DOI https://doi.org/10.11477/mf.1403107003
  • Abstract
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 Evaluation of the hepatic resection as a surgical management for the intrahepatic stones was studied in 68 cases.

 Stones were in both lobes in 44.1% and in 42% in the left. But only 13% were found in the right lobe. The pathological findings of the bile ducts were strictures and dilatations. Forty four percent of the cases showed the stricture (Fig. 2). Sixty percent of them were in the left lobe. The dilatation of the intra- and/or extrahepatic bile ducts were found in 93% of 68 cases (Fig. 3).

 The hepatic resection was performed in 57% of the cases with marked bile duct stricture (Tables 2 and 3). Resected liver specimens were examined histologically. They showed conspicuous proliferation of mucin-producing gland-like structure in the thickened periductal area (Fig. 7).

 Ninety four percent of the resected cases showed good prognosis after operation. On the other hand, 76.9% of nonresected cases with bile duct stricture were in good condition after surgery (Tables 2 and 3).

 It is concluded that the hepatic resection in the case with marked bile duct disorder will give us significantly better postoperative course, because the region with severe organic changes is removed by the procedure.

Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.


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