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Endoscopic treatment of intra hepatic stone



Endoscopic treatment of intra hepatic stone



Stomach & Intestine (Tokyo) 19(4): 437-444



Fifty cases of intrahepatic stones were treated by means of hepatectomy and/or hepaticojejunostomy and/or endoscopic lithotomy. Good results were obtained using endoscopic treatment in 45 cases (90%). Endoscopic papillotomy (EPT), postoperative choledochoscopy (POC) and percutaneous transhepatic cholangioscopy (PTCS) were applied during endoscopic lithotomy. Primary cases were 11, and 29 cases were residual stones and several kinds of surgical treatment were performed, which means inadequate operations had been applied after making an inaccurate diagnosis of intrahepatic stone. Hepatectomy and/or hepaticojejunostomy should be applied after making an accurate diagnosis of abnormal and/or pathological biliary tracts (biliary stenosis or dilatation) by means of PTCS. PTCS is the most advantageous for the endoscopic treatment of intrahepatic stone.

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Accession: 005359693

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