Dr Paulo Herman and colleagues evaluated the results of liver resection as the treatment for unilateral non-oriental primary intrahepatic lithiasis.
The research team submitted 27 symptomatic patients, with a mean age of 42 years, to liver resection.
The indications were parenchymal fibrosis/atrophy in 22, and biliary stenosis in 5.
Resection was associated with a Roux-en-Y hepaticojejunostomy in patients with a significant degree of dilation of the extrahepatic biliary duct.
There was no operative mortality and the morbidity rate was 7%.
After a median follow-up of 41 months, the overall rate of good results was 93%.
|80% of those with associated hepaticojejunostomy did not have complications|
|American Journal of Surgery|
All patients submitted to liver resection alone presented good late results.
However, the team found that 80% of those with associated hepaticojejunostomy did not have complications.
The researchers observed late complications in 7%, of which 1 had a liver abscess and 1 had cholangitis with recurrent stones.
There was no mortality during long-term follow-up.
Dr Herman's team concluded, “Liver resection showed low incidence of complications and good long-term results.”
“None of the patients with unilateral disease without associated extrahepatic bile duct dilation presented complications and they were considered cured.”
“We believe that resection indications should be expanded and the procedure should be indicated as routine in patients with unilateral primary intrahepatic lithiasis even in the absence of parenchymal fibrosis/atrophy or biliary stenosis.”