Journal article
Resection as the definitive treatment for unilateral non-oriental primary intrahepatic lithiasis
P Herman, MV Perini, MAC Machado, T Bacchella, V Pugliese, WA Saad, JEM da Cunha, MCC Machado, JG Rodrigues
AMERICAN JOURNAL OF SURGERY | EXCERPTA MEDICA INC | Published : 2006
Abstract
BACKGROUND: The current study sought to evaluate the results of liver resection as the treatment for unilateral non-oriental primary intrahepatic lithiasis (PHIL). METHODS: Twenty-seven symptomatic patients (mean age 42 years) were submitted to liver resection; the indications were parenchymal fibrosis/atrophy in 22 and biliary stenosis in 5. Resection was associated with a Roux-en-Y hepaticojejunostomy in patients with a significant degree of dilation of the extrahepatic biliary duct. RESULTS: There was no operative mortality and the morbidity rate was 7.4% (2 patients with biliary fistula). After a median follow-up of 41.2 months, the overall rate of good results was 92.6%. All patients su..
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