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- W2912679545 abstract "Purpose: The aim of this study was to evaluate the perioperative and long-term results of hepatectomy for bilateral hepatolithiasis comparing to that for unilateral hepatolithiasis. Methods: From 1985 to 2006, 30 patients underwent hepatectomy for hepatolithiasis, and their medical records were reviewed retrospectively for immediate (operative morbidity and mortality) and long-term (stone recurrence and survival) results. Results: For the patients with unilateral hepatolithiasis, left side hepatectomy was performed in 19 cases (76%) and right side hepatectomy was performed in six cases (24%). Hepatectomy to bilateral lobes was done in three of five patients with bilateral hepatolithiasis. In the other two patients, left side hepatectomy was done and the stones of the preserved liver were eliminated intraoperatively. All the stones were removed except in a patient who underwent lateral segmentectomy for bilateral hepatolithiasis. The most frequent operative complication was biliary fistura, observed in six patients. The operative morbidity was 33.3% (32% in the unilateral stone group, 40.0% in the bilateral stone group) but there was neither operative nor hospital death. History of biliary surgery was significantly correlated with the immediate operative morbidity though the other examined factors were not (e.g. location of stones, resected side of the liver, hemihepatectomy or not). With a median follow-up of 163 months (range 4 to 290), no stone recurrence or no repeated cholangitis was observed in 29 patients after complete removal of the stones. Though one episode of cholangitis, ileus, and duodenal ulcer were observed, respectively, they were treated conservatively. Two patients died of recurrence of the liver cancer coexisting at the operation, cholangiocarcinoma and hepatocellular carcinoma, respectively. One patient died of HCV liver cirrhosis. Two patients died of unrelated malignancy (gastric cancer and lung cancer). Conclusion: Hepatic resection is a safe and effective treatment not only for unilateral but also for bilateral hepatolithiasis since it has high stone clearance rate and good long-term results. It might be applied carefully for patients with previous biliary surgery, the risk factor for higher incidence of immediate morbidity." @default.
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- W2912679545 date "2007-09-01" @default.
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- W2912679545 title "Hepatic Resection Is a Safe and Effective Treatment for Bilateral Hepatolithiasis" @default.
- W2912679545 doi "https://doi.org/10.14309/00000434-200709002-00175" @default.
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