Endoscopic Treatment of Intrahepatic Stone Y. Nimura 1 , N Hayakawa 1 , H. Hasegawa 1 , J. Kamiya 1 1The First Department of Surgery, Nagoya University, School of Medicine pp.437-444
Published Date 1984/4/25
DOI https://doi.org/10.11477/mf.1403107007
  • Abstract
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 Fifty cases of intrahepatic stones have been treated in our department by means of hepatectomy and/or hepaticojejunostomy and/or endoscopic lithotomy. Good results were obtained using endoscopic treatment in 45 cases (90%). Endoscopic papillotomy (EPT), postoperative choledochoscopy (POC) and percutaneous transhepatic cholangioscopy (PTCS) have been applied for the endoscopic lithotomy. Primary cases are 11 and 29 cases are residual stones and several kinds of surgical treatment had been performed, which means inadequate operations had been applied after making an inaccurate diagnosis of intrahepatic stone. Hepatectomy and/or hepaticojejunostomy should be applied after making an accurate diagnosis of abnormal and/or pathological biliary tracts (biliary stenosis or dilatation) by means of PTCS. PTCS is the most advantageous for the endoscopic treatment of intrahepatic stone.

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