Title

Surgical Management of Hepatolithiasis.

Sanford School of Medicine Affiliation

Transplantation and Surgery

Document Type

Article

Disciplines

Medicine and Health Sciences | Surgery

Publication Date

5-1-2009

Keywords

hepatectomy, hepatolithiasis, percutaneous transhepatic cholangiography

Abstract

BACKGROUND: Globalization and intercontinental migration have not just changed the socioeconomic status of regions, but have also altered disease dynamics across the globe. Hepatolithiasis, although still rare, is becoming increasingly evident in the West because of immigration from the Asia-Pacific region, where the disease prevails in endemic proportions. Such rare but emerging diseases pose a therapeutic challenge to doctors.

METHODS: Here, we briefly introduce the topic of hepatolithiasis and describe features of intrahepatic stones, the aetiology of hepatolithiasis and the symptoms and sequelae of the condition. We then provide a comprehensive review of the various management modalities currently in use to treat hepatolithiasis.

CONCLUSIONS: In our opinion, and as is evident from the literature, surgery remains the definitive treatment for hepatolithiasis. However, non-surgical procedures such as cholangiography, although limited in their therapeutic capabilities, play a vital role in diagnosis and preoperative evaluation.

Journal Title

HPB (Oxford)

Volume

11

Issue

3

First Page

194

Last Page

202

PubMed ID

19590647

ISSN

1365-182X

Rights

https://www.ncbi.nlm.nih.gov/pmc/about/disclaimer

DOI

10.1111/j.1477-2574.2009.00046.x

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