J.Jpn. Surg. Soc.. 87(4): 435-442, 1986
Original article
MANAGEMENT OF LEFT AND RIGHT TYPE INTRAHEPATIC STONE ASSOCIATED WITH THE PROXIMAL BILE DUCT STENOSIS
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The First Department of Surgery, Nagoya University School of Medicine, Nagoya, Japan Naokazu Hayakawa, Yuji Nimura, Junichi Kamiya, Katsushi Okamoto, Shoji Maeda, Hiroshi Hasegawa, Shigehiko Shionoya |
Percutaneous Transhepatic Cholangioscopy (PTCS) was performed in 10 cases, post operative cholangioscopy (POC) in 7 cases. These cases were divided into three groups according to the treatment received. Six patients were treated only with cholangioscopic lithotomy (Group I). Six patients underwent surgical treatment after cholangioscopic lithotomy (Group II). Other 3 patients were treated with POC (Group III).
Clinical course of Group I : One patient died of recurrent liver abscess 5 years after PTCS. One died of another disease. One had suffered from empyema 5 years after PTCS, but he is doing well now. Other 3 patients are doing well now.
Clinical course of Group II : All patients are doing well now.
Clinical course of Group III : All patients underwent treatments for residual stones after POC.
Good results were obtained in group II. Surgical treatment after cholangioscopic lithotomy is the best way for these 15 cases.
Adequate operative proceduere should be applied after improving the patients' condition and making an accurate diagnosis of biliary tract anomalies by means of PTCS.
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