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Extended hepatico choledocho jejunostomy for treatment of intra hepatic gall stones

, : Extended hepatico choledocho jejunostomy for treatment of intra hepatic gall stones. Stomach & Intestine (Tokyo) 19(4): 427-436

Out of 118 patients with intrahepatic stones who were treated surgically, 13 had associated malignant tumors of the biliary duct or stomach. The remaining 105 patients were divided into 4 types: type I, 5 patients in whom stenotic or dilated lesion of the biliary tract was absent; type II, 25 patients in whom stenotic lesion was absent or found only in the extrahepatic portion of the biliary duct; type III, 33 patients in whom stenotic lesions with solitary or multiple cystic dilatation were present in the left intrahepatic bile duct and type IV, 42 patients in whom stenotic lesions with solitary or multiple cystic dilatation were present in the right or bilateral intrahepatic bile ducts. Type I and II may be called secondary intrahepatic stones, and type III and IV may be called primary intrahepatic stones. Overall operative mortality was 3.8%. Eleven patients died during the follow-up period. The majority of the patients who died were type IV cases with a long duration of illness before surgery, and they needed many operations for residual stones. The patients in type I or II were treated with choledocholithotomy, choledochoduodenostomy or choledochojejunostomy, while the patients in type III were treated with left hepatic resection and additional bilioenteric anastomosis. Type IV patients were treated by partial hepatic resection with bilioenteric anastomosis, including extended hepaticocholedochojejunostomy. Postoperative follow-up study revealed satisfactory results in 100% of the patients in type I and 83% of the cases in type II. The patients in type III and IV had satisfactory results in 79% or 81% of the cases, respectively. The patients in type II, III and IV cases treated with choledochoduodenostomy or cholangiojejunostomy showed poor results. The residual stones in type IV patients were demonstrated postoperatively in 15 out of 26 (57.7%). The most excellent results (91%) were obtained in type IV by extended hepaticocholedochojejunostomy especially with hepatectomy. Ten patients treated with extended hepaticocholedochojejunostomy were readmitted for the further evaluation of postoperative status by ultrasonography (US) and computed tomography (CT). In 80% of these patients, US and CT examinations revealed absence or decrease of the residual stones. Extended hepaticocholedochojejunostomy with partial hepatic resection is suggested a reasonable procedure for primary intrahepatic stones of the bilateral lobes of the liver.

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Brundin, Patrik; Duan, Wei Ming; Sauer, Hansjorg, 1994: Functional effects of mesencephalic dopamine neurons and adrenal chromaffin cells grafted to the rodent striatum. Dunnett, S B [Editor], Bjorklund, A [Editor] Advances in Neuroscience; Functional neural transplantation 9-46

Waldbauer, G. P., 1964: Quantitative relationships between the numbers of fecal pellets, fecal weights and the weight of food eaten by tobacco hornworms, Proto-parce sexta. The number of fecal pellets was found to be an unreliable index of food consumption. There is, however, a high correlation between the weight eaten and the weight excreted. Nevertheless, caution must be exercised in using this relationship to comp...

Van Dyk, Daniel A.; Taylor, Alan J.; Evans, Christopher S., 2007: Assessment of repeated displays: a test of possible mechanisms. Many animals signal their resource holding potential ( RHP) to deter competitors from engaging them in potentially costly fights. Studies of this opponent assessment function have generated important insights into signal design and evolution. In t...

Rizkalla, S. N.; R.A.; Mackenzie, T.Hall; Whitmore, W. F., 1962: Additive effects of dithizone and oxine on the canine prostate. The effects of dithizone (diphenylthiocarbazone) and oxine on the canine prostate were studied. The chelating agents were given intravenously in small doses which, alone, did not produce lesions. Lesions were produced by combined administration du...

Beovich E.K.; Quinn G.P., 1992: The grazing effect of limpets on the macroalgal community of a rocky intertidal shore. Abundance of macro-algae in the mid-littoral zone on a Victorian (Australia) intertidal rocky shore varied seasonally, algae being rare in Summer and common in Winter and Spring. Field experiments demonstrated that, of two species of grazing limpe...

Anonymous, 1978: Analysis of pesticide residues in foods. VII. A miniature method for preparation of fat samples. The miniaturized procedure of Stijve & Brand [Deutsche Lebensmittel-Rundschau (1977) 73, 41] for preparation of fat samples for GLC analysis of pesticide residues was evaluated in collaborative studies using samples of 'edible oil',...

Ikeda Syunsuke; Izumi Norihiro, 1989: Width and depth of self-formed straight gravel rivers with bank vegetation. Research Report of Department of Foundation Engineering and Department of Construction Engineering, Faculty of Engineering, Saitama University = Saitama Daigaku Kogakubu Kensetsu-kei Kenkyu Hokoku 19: 1-19

Harrison Hill, T., 2000: Investigating cognitive distance and long-haul destinations. This study investigated the relationship of cognitive distance, actual distance, and the allocation of long-haul destinations within US tourists' choice sets. Data were collected on perceptions of Australia and Italy as destinations (n=225, N...

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Darius H.; Ahland B.; Ruecker W.; Klaus W.; Peskar B.A.; Schroer K., 1984: The effects of molsidomine and its metabolite sin 1 n morpholino n nitrosamino acetonitrile on coronary vessel tone platelet aggregation and eicosanoid formation in vitro inhibition of 12 l hydroxy 5 8 10 14 eicosatetraenoic acid biosynthesis. The action of the biologically active metabolite of molsidomine, N-morpholino-N-nitrosamino-acetonitrile (SIN), on eicosanoid formation and functional behavior of bovine coronary arteries and human platelets in vitro was studied. Glyceryltrinitrat...