Classification and management of hepatolithiasis: A high-volume, single-center's experience

Preoperative biliary drainage versus direct surgery for perihilar cholangiocarcinoma: A retrospective study at a single center

“…Nimura et al noted that selective cholangiography through PTBD and/or ENBD allows precise preoperative staging of the disease (18).In addition, ERCP/ENBD can delineate the anatomy of the biliary system, determine the extent of bile duct involvement, and allow correct differentiation of malignant from benign lesions through cytology by brushings and biopsy, which are important in determining respectability and surgical management (19).These advantages cannot be ignored. Benign bile duct diseases are needed be excluded during the process of diagnosis, such as hepatolithiasis (20).Thus when the suspicion remains for pCC, the PBD should be indicated due to the reasons mentioned above. Although the mortality rate was comparable between the two groups in the current study, no death was found in PBD group.…”

Perspectives on a combined test of multi serum biomarkers in China: Towards screening for and diagnosing hepatocellular carcinoma at an earlier stage

“…Over the past few decades, a series of standardized management methods for HCC has been implemented by China Government, and the Expert Consensus on the Treatment Standards for Hepatic Carcinoma, the Chinese Guidelines on HCC, was drafted in 2009 (19). Currently, standard treatment for HCC in China is comprehensive therapy predominantly in the form of surgery (7,20). As clinical techniques have developed in China, new techniques have also become available, such as laparoscopic surgery and minimally invasive robotic surgery.…”

New surgical technique applied with urological instruments in bilobar multiple hepatolithiasis: Ultra-mini percutaneous hepatolithotomy

“…But it is not recommended as the primary treatment method in patients who had bile duct operations. [6,7] Feng et al [1] asserted that hepatectomy was the best option for the disease recurrence in the treatment of type 2b hepatolithiasis patients.…”

“…The aim of hepatolithiasis treatment is to eradicate the persistent infections and to prevent recurrent cholangitis, hepatic fibrosis and the development of cholangiocarcinoma. [1] Symptomatic hepatolithiasis patients should be treated. But the treatment regimen to be applied should be decided after examining the age, performance condition, general condition of the patient and location of the stone carefully.…”

“…Its prevalence is 30-50% in East Asian and 0.6-1.3% in the Western countries. [1] Intrahepatic biliary stones may present with chronic stomach ache, cholestasis, cholangitis, abscess, post-obstructive atrophy and liver cirrhosis. Thus different methods such as biliary decompression, endoscopic, percutaneous or open surgery are used for the treatment of patients with intrahepatic biliary stones.…”