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Intrahepatic stones: the UKM experience
1Department of Surgery, Hospital Universiti Kebangsaan Malaysia, Jalan Tenteram, Cheras, 56000 Kuala Lumpur.
The Medical Journal of Malaysia
|February 28, 2001
Summary
Intrahepatic stones (stones within the liver) cause significant health problems. Even with advanced surgery, residual stones are common, leading to increased treatment costs and complications.
Area of Science:
- Hepatobiliary Surgery
- Gastroenterology
- Surgical Outcomes
Background:
- Intrahepatic stones are a significant cause of patient morbidity and mortality.
- Effective management of intrahepatic calculi is crucial for improving patient outcomes.
Purpose of the Study:
- To review the management and outcomes of intrahepatic calculi.
- To analyze the incidence and contributing factors of residual stones after treatment.
Main Methods:
- Retrospective analysis of 49 patients with intrahepatic stones treated between January 1993 and June 1996.
- Review of associated biliary diseases, stone locations, and surgical interventions performed.
Main Results:
- 57.1% of patients had residual stones despite surgical and non-surgical interventions.
- Common bile duct exploration was performed in 31 patients, often combined with other procedures.
- Stones were frequently located in both intrahepatic ducts (56%) or the left intrahepatic duct (34%).
Conclusions:
- Residual intrahepatic stones remain a common challenge in hepatobiliary surgery.
- The persistence of stones increases treatment costs and potential complications.