Intrahepatic Stones The Transhepatic Team Approach

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Transgastric and percutaneous transhepatic rendezvous maneuver for the treatment of difficult intrahepatic stones.

Interventional therapy of hepatic biliary stones is challenging if the patient has been subject to previous gastric or biliary surgery. Several variations have been reported for the endoscopic and endoscopic ultrasound (EUS)-guided transgastric approach to the biliary tract as salvage techniques after the failure of peroral endoscopic drainage [1]. A success rate of 89% has been reported, with ...

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Intrahepatic stones: the UKM experience.

Intrahepatic stones remain a major source of morbidity and mortality. With improving techniques in hepatobiliary surgery, the management and the outcome of intrahepatic calculi is reviewed. Forty-nine cases referred from all over Malaysia between January 1993 to June 1996 were analyzed retrospectively. There were thirty-two females and seventeen males. The median age was 46 years. Biliary disea...

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Liver Resection for Intrahepatic Stones

Intrahepatic stones are difficult to manage, especially when they are associated with bile duct stricture, cholangitis and destruction of liver parenchyma. Suggested modes of treatment include surgical bile duct exploration, endoscopic procedures, transhepatic cholangiolithotomy and liver resection. This paper reports 2 patients in whom liver resection was performed because of intrahepatic duct...

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Liver resection for intrahepatic stones.

HYPOTHESIS Long-term outcome is good for a selected group of patients with hepatolithiasis treated with liver resection. Liver resection should also be offered to patients with complex hepatolithiasis such as bilateral stones or those with strictures. DESIGN Retrospective study. SETTING Regional hospital. PATIENTS A total of 174 patients with hepatolithiasis (201 procedures) treated betwe...

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Recanalization of an Occluded Intrahepatic Portosystemic Covered Stent via the Percutaneous Transhepatic Approach

A 41-year-old woman with liver cirrhosis had recurrent portal hypertension and bleeding from esophageal varices due to complete occlusion of a previously inserted transjugular intrahepatic portosystemic shunt stent. Because recanalization of the stent by the transjugular approach was unsuccessful, ultrasound-guided entry to the splenic vein and portal vein was used. After catheter-directed intr...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1994

ISSN: 0003-4932

DOI: 10.1097/00000658-199405000-00011