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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1988-6-8
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pubmed:abstractText |
Fifteen cases of intrahepatic lithiasis are reported, on 1798 operations for non malignant diseases of the biliary tract (0.8%), carried out by the Authors in the last 11 years. Two cases were described separately, consisting respectively of an "eastern" hepatolithiasis, and a secondary form, due to stenosis of a choledochoduodenostomy, which had been performed after surgical injury of the common bile duct. The other 13 patients had a "mixed" form. Jaundice was present in 8 of these cases, cholangitis in 4. Intrahepatic stones were diagnosed preoperatively in 3 cases and intraoperatively in 10. A bilioenteric anastomosis was carried out in 9 cases, a sphincteroplasty in 3, and a T-tube drainage in a patient with suppurative cholangitis. Two patients died postoperatively, both from sepsis: the first in the early postoperative phase, after emergency operation for cholangitis; the other, with "primitive" hepatolithiasis, 3 months after the operation. Clinical results are satisfactory after 1-11 years. On the basis of data from current literature, diagnostic and therapeutic aspects are set forth, with specific reference to the mixed and secondary forms: the bilioenteric anastomoses seem to give better chances of success, but the need to have access to lobar ducts may sometimes impose hilar derivations. Spincteroplasty may have a few indications, solely in selected patients.
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0009-4773
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
40
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
3-17
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:3359550-Adult,
pubmed-meshheading:3359550-Aged,
pubmed-meshheading:3359550-Bile Duct Diseases,
pubmed-meshheading:3359550-Bile Ducts, Intrahepatic,
pubmed-meshheading:3359550-Cholangiography,
pubmed-meshheading:3359550-Cholangiopancreatography, Endoscopic Retrograde,
pubmed-meshheading:3359550-Cholelithiasis,
pubmed-meshheading:3359550-Female,
pubmed-meshheading:3359550-Humans,
pubmed-meshheading:3359550-Male,
pubmed-meshheading:3359550-Middle Aged
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pubmed:year |
1988
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pubmed:articleTitle |
[Personal case series of intrahepatic lithiasis].
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pubmed:affiliation |
Università degli Studi di Parma Istituto di Clinica Chirurgica Generale e Terapia Chirurgica II.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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