Integrated treatment of secondary hepatolithiasis. Case report

Conzo, Giovanni and Stanzione, Francesco and Celsi, Salvatore and Candela, Giancarlo and Venetucci, Pietro and Palazzo, Antonietta and Della Pietra, Cristina and Santini, Luigi and Iaccarino, Vittorio (2011) Integrated treatment of secondary hepatolithiasis. Case report. Il giornale di chirurgia, 32 (10). pp. 424-428. ISSN 1971-145X

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Hepatolithiasis is defined as the occurrence of stones proximal to the biliary confluence and represents a prevalent disease in South East Asia being uncommon in Western contries. Biliary sepsis, hepatic abscesses and cholangiocarcinoma are considered potential complications. The Authors describe a case of a 68 years male patient affected by a left massive intrahepatic lithiasis secondary to common duct stones and associated to acute pancreatitis. The patient refused surgery and was submitted to a conservative transhepatic percutaneous treatment. After a complete removal of intrahepatic stones and a positioning of external internal biliary drainage (14F), a laparoscopic cholecistectomy was performed. The MRI control showed a complete resolution of the intrahepatic lithiasis. Conservative transhepatic percutaneous approach to hepatolithiasis represents a safe and effective treatment allowing good medium-long term results. Surgery is reccomended in case of severe hepatic fibrosis or atrophy, suspected cholangiocarcinoma or multiple strictures with biliary distorsion. Integrated therapeutical protocols in referral multidisciplinary centers-offers the best long term results.

Item Type: Article
Uncontrolled Keywords: Hepatolithiasis - Hepatic resection - Percutaneous cholangioscopic lithotomy
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User: Nadia Del Gobbo
Date Deposited: 06 May 2016 14:54
Last Modified: 06 May 2016 14:54

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