Ductal dilatation and stenting make routine hepatectomy unnecessary for left hepatolithiasis with XXXX .

@entity1 @entity1157 @entity1419 @entity9744 @entity7252
BACKGROUND: Hepatolithiasis with @entity9744 , more common in Southeast Asia than elsewhere, remains a difficult problem to manage. Hepatic resection has recently been advocated as one of the treatment modalities for hepatolithiasis; however, this procedure is not without risk. This study was designed to achieve complete clearance of the stones, eliminate @entity1157 , and avoid the potential risks of hepatic resection in the @entity1 with hepatolithiasis and @entity9744 . METHODS: In this prospective clinical trial 13 @entity1 with retained left hepatolithiasis and @entity9744 were included. All the @entity1 met the following criteria: (1) initial surgical procedure for hepatolithiasis, (2) normal gross findings of the left liver, and (3) no obvious clinical evidence of an associated @entity1419 . After the operation they underwent matured T-tube tract ductal dilatation with percutaneous transhepatic cholangioscopy tube stenting. Choledochoscopic electrohydraulic lithotripsy was used in five @entity1 after dilatation when impacted or large stones were encountered. RESULTS: Complete clearance of the stones was achieved in these 13 @entity1 . One @entity1 had fevers develop after ductal dilatation, and another @entity1 had mild @entity7252 after electrohydraulic lithotripsy. Both recovered uneventfully with conservative treatment. These successfully treated @entity1 remain well, with a mean follow-up period of 20 months. CONCLUSIONS: Postoperative matured T-tube tract ductal dilatation and stenting, combined with endoscopic electrohydraulic lithotripsy when indicated, is an effective and safe alternative to hepatic resection for selected left hepatolithiasis with @entity9744 .
