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Laparoscopic treatment of intrahepatic duct stone

Title
Laparoscopic treatment of intrahepatic duct stone
Authors
Han H.-S.Yi N.-J.
Ewha Authors
한호성
Issue Date
2004
Journal Title
Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
ISSN
1530-4515JCR Link
Citation
vol. 14, no. 3, pp. 157 - 162
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Between October 1998 and November 1999, 12 patients with IHD stones, without severe ductal stricture, adhesion due to previous exploration, intrahepatic abscess or suspicious malignancy, were in the subjects of this study. A 4-port-technique was performed, with a 4-way flexible choledochoscope, via a choledochotomy, for removal of the stones. The postoperative follow-up for recurrent stones was performed with a cholangiogram and an ultrasonogram, and the quality of life was evaluated by a questionnaire for the symptoms. The mean operating time was 288.3 (150-420) minutes. There was only one postoperative complication, but no intraoperative transfusions or perioperative mortality. Remnant stones were detected in 1 patient on the final T-tube cholangiogram, which was removed by percutaneous choledochoscopy, through the tract matured by the T-tube. There were no cholangitis or recurrent stones during the mean follow-up period of 31.4 (10-45) months. With increasing demand for minimal invasiveness, the laparoscopic treatment of IHD stones could be an effective option.
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의과대학 > 의학과 > Journal papers
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