J.Jpn. Surg. Soc.. 79(7): 565-583, 1978
Original article
FOLLOW-UP RESULTS OF SURGICAL TREATMENT FOR INTRAHEPATIC GALLSTONES
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The 1st Department of Surgery, Tohoku University School of Medicine Susumu Inoue, Noriyoshi Suzuki, Wataru Takahashi, Toshio Sato |
All 61 patients could be followed up. Detailed examination was performed in 52 patients excluding 9 who died at the time of the follow-up study. Forty-four of the 52 survivd patients (84.6%) were completely rehabilitated with almost no complaints. Five others were found usually attending work with occasional absence. However, three patients were still under treatment. The liver function test in 52 patients revealed that it returned to normal or approximately normal in patients in whom stones were removed completely at the time of discharge from the hospital. In patients in whom residual stones were observed at the time of discharge, the liver function test showed abnormal values at the time of the follow-up study.
Many of the eitht patients who were incompletely rehabilitated or still under treatment were found having biliary stricture. From the standpoint of an additional operation, eight patients consist of five with transduodenal shincteroplasty, two with choledochojejunostomy and one with T-tube drainage. Five of them had residual stones. Liver biopsy at the time of operation showed severe hepatic fibrosis in four patients and liver cirrhosis in one patient. They showed aggravated liver function at the time of the follow-up study as compared at the time of discharge, having occaisional bouts of cholangitic attack.
The stoma was more widely patent in dogs (C-J) with choledochojejunostomy than in dogs (C-D) with choledochoduodenostomy. Forty percent of the C-J dogs had duodenal ulcer. Duodenal ulcer has not yet been observed in clinical cases.
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