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LIVER RESECTION FOR NON-ORIENTAL HEPATOLITHIASIS.

Orlando Jorge Martins Torres1, Marcelo Moura Linhares2, Eduardo José B Ramos3

  • 1Department of Gastrointestinal Surgery, Hepatopancreatobiliary Unit, Federal University of Maranhão, São Luís, MA, Brazil.

Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery
|December 21, 2019
PubMed
Summary

Liver resection effectively treats primary intrahepatic lithiasis by removing stones and strictures. This surgical approach is ideal for managing hepatolithiasis, offering a definitive solution with no reported mortality.

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Area of Science:

  • Hepatobiliary Surgery
  • Gastroenterology
  • Surgical Oncology

Background:

  • Primary intrahepatic lithiasis involves stones forming within the liver, often accompanied by bile duct dilation and strictures.
  • Liver resection is recognized as the optimal treatment for these conditions.

Purpose of the Study:

  • To assess the outcomes of liver resection for non-oriental primary intrahepatic lithiasis.
  • Evaluate the efficacy and safety of surgical resection in managing hepatolithiasis.

Main Methods:

  • A retrospective analysis of 51 patients with symptomatic benign non-oriental hepatolithiasis who underwent surgical resection across six Brazilian institutions.
  • Data collected included demographics, symptoms, disease classification, diagnostic methods, surgical procedures, and postoperative outcomes.

Main Results:

  • The study included 51 patients (54.9% male, mean age 49.3 years); 29.4% had a history of cholangitis.
  • Intrahepatic lithiasis types included I (76.5%) and IIb (23.5%), with Ea subtype in 11.8%.
  • Various liver resection techniques were employed, including left lateral sectionectomy (47.1%) and left hepatectomy (27.5%). Laparoscopic resection was performed in 15.7% of cases. Postoperative complications occurred in 39.2%, with no mortality.

Conclusions:

  • Liver resection is the definitive procedure for hepatolithiasis, addressing stones, strictures, and atrophic liver segments.
  • This surgical approach minimizes the risk of developing cholangiocarcinoma, a serious complication associated with hepatolithiasis.