Left-sided hepatic resection for hepatolithiasis: a longitudinal study of 110 patients

Shah, Omar Javed; Robbani, Irfan; Shah, Parveen; Zargar, Showkat Ali; Javaid, Gul; Yattoo, Ghulam Nabi; Shah, Altaf; Mustafa, Farhat

doi:10.1111/j.1477-2574.2012.00534.x

Cited by 16 publications

(14 citation statements)

References 25 publications

(43 reference statements)

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“…20 This difference reflects the higher frequency of bilateral involvement in the present series (38%). Most of the published series 8,17,18 had shown left lateral segmentectomy to be the predominant type of hepatic resection for the management of RPC. In the present study left hepatectomy was the commonest resection modality employed, which is in concordance with some recent studies.…”

Section: Discussionmentioning

confidence: 99%

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Outcome of surgery for recurrent pyogenic cholangitis: a single center experience

Ray

Sanyal

Das

et al. 2016

HPB

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Section: Discussionmentioning

confidence: 99%

“…2,[8][9][10][11][12] The aim of this article was to report the short and long-term outcomes of surgery for RPC from a tertiary center from Eastern India.…”

Section: Introductionmentioning

confidence: 99%

Outcome of surgery for recurrent pyogenic cholangitis: a single center experience

Ray

Sanyal

Das

et al. 2016

HPB

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“…The rate of major complications here is relatively low. There was no operative mortality even in patients with cholangitis or liver abscess 1 , 8 , 10 , 11 , 19 , 20 .…”

Section: Discussionmentioning

confidence: 90%

Liver Resection for Non-Oriental Hepatolithiasis

Ojm

Linhares

Ramos

et al. 2019

ABCD, arq. bras. cir. dig.

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Background: Primary intrahepatic lithiasis is defined when the stones are formed in the liver and associated with local dilatation and biliary stricture. Liver resection is the ideal procedure. Aim: To evaluate the results of liver resection in the treatment of non-oriental intrahepatic lithiasis. Methods: Fifty-one patients with symptomatic benign non-oriental hepatolithiasis underwent surgical resection in six institutions in Brazil. Demography data, clinical symptoms, classification, diagnosis, management and postoperative course were analyzed. Results:Of the 51 patients, 28 were male (54.9%), with a mean age of 49.3 years. History of cholangitis was observed in 15 (29.4%). The types of intrahepatic lithiasis were type I in 39 (76.5%) and type IIb in 12 (23.5%), with additional type Ea in six (11.8%). Liver function test were normal in 42 patients (82.4%). Segmental atrophy was observed in 12 (23.5%). Treatments included left lateral sectionectomy in 24 (47.1%), left hepatectomy in 14 (27.5%) and right hepatectomy in eight (15.7%), with associated hepaticojejunostomy in four (7.8%). Laparoscopic liver resection was performed in eight (15.7%). Postoperative complications were observed in 20 (39.2%) with no mortality. Conclusion:Liver resection in patients with hepatolithiasis is the ideal procedure as it removes stones, stricture, atrophic parenchyma, and minimizes the risk of cholangiocarcinoma.

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“…Surgery remains the main treatment option for HL and the principle is to remove lesions, extract stones, remedy strictures, free drainage, relieve cholestasis, restore the biliary tract to normal physiological function, and cure disease [15][16][17][18][19] . HL is complicated, therefore, an appropriate and personalized treatment strategy should be devised for each specific case, with (4) and type Ⅳ (terminal type): multiple intrahepatic stones accompanied by secondary biliary cirrhosis, portal hypertension, splenomegaly, hypersplenism, portal vein spongiform degeneration or schistosomiasis hepatic cirrhosis [9] .…”

Section: Discussionmentioning

confidence: 99%

Preliminary study of a new pathological evolution-based clinical hepatolithiasis classification

Liu¹,

Yu²,

Wang³

et al. 2015

WJG

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AIM:To investigate clinical features, treatment strategies and outcomes of patients with hepatolithiasis (HL) undergoing surgical treatment, using a new clinical classification. METHODS:Sixty-eight HL patients were hospitalized and treated surgically from August 2011 to December 2012 and they were classified into four HL types according to pathological evolution of the disease. These four HL types included type Ⅰ primary type (defined as no previous biliary tract surgery), type Ⅱ inflammatory type (with previous biliary tract surgery and cholangitis), type Ⅲ mass-forming type (HL complicated by hepatic mass-forming lesion), and type Ⅳ terminal type (with secondary biliary cirrhosis and resultant portal hypertension). The perioperative data including general information, imaging data, postoperative complications, and immediate and final stone clearance rate were obtained and analyzed. RESULTS:In all 68 patients, the proportion of HL type Ⅰ-Ⅳ was 50% (34/68), 36.8% (25/68), 10.3% (7/68) and 2.8% (2/68), respectively. Abdominal pain was the main clinical manifestation in type Ⅰ (88.2%), fever was predominant in type Ⅱ (52.0%), the malignancy rate in type Ⅲ was high (71.4%), and portal hypertension and spleen enlargement were common in type Ⅳ (2/2, 100.0%). Liver resection rate for types Ⅰ-Ⅲ was 79.4%, 72.0% and 71.4%, respectively. The overall incidence of postoperative complications was 23.5% (16/68). There were no perioperative deaths. The average length of hospital stay was 12.7 ± 7.3 d. Immediate and final stone clearance rate was 73.5% (50/68) and 89.7% (61/68), respectively. Fifty-nine of 68 patients (86.8%) were followed-up for > 1 year after surgery, and 96.6% of these patients (57/59) had a good quality of life according to a criterion recommended for postoperative evaluation of quality of life. CONCLUSION:The pathological evolution-based clinical classification of HL has a role in optimizing Submit a

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Left-sided hepatic resection for hepatolithiasis: a longitudinal study of 110 patients

Cited by 16 publications

References 25 publications

Outcome of surgery for recurrent pyogenic cholangitis: a single center experience

Outcome of surgery for recurrent pyogenic cholangitis: a single center experience

Liver Resection for Non-Oriental Hepatolithiasis

Preliminary study of a new pathological evolution-based clinical hepatolithiasis classification

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