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Liver Resection for Primary Intrahepatic Stones—Invited Critique

Liver Resection for Primary Intrahepatic Stones—Invited Critique INVITED CRITIQUE uzzo and colleagues describe an interesting se- previous surgery. They classify patients with PIL as hav- ries of 35 patients with intrahepatic lithiasis who ing stones that are found proximal to a bile duct stric- N underwent exploration at a single institution ture not caused by previous surgery or within a collec- during a 13-year period. Presentation and management tion of dilated cystic ducts, usually isolated to 1 side of of intrahepatic biliary stones is well reported in the East- the liver. It is interesting that of the 35 patients selected ern literature, but the disease is very rare in Western coun- for partial hepatectomy, 30 had disease limited to the left tries, from where this article comes. This series nicely side. Perhaps this reflects selection bias. complements smaller series reported by Herman et al, Nuzzo and colleagues should be congratulated for the 2 3 Vetrone et al, and Di Carlo et al that represent the bulk presentation of their outstanding results. There are myriad of reports from Western countries. Nuzzo and col- therapeutic options for patients with intrahepatic lithia- leagues successfully resected the involved liver seg- sis. It is important to try to determine the etiology http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Liver Resection for Primary Intrahepatic Stones—Invited Critique

Schulick, Richard D.
JAMA Surgery , Volume 143 (6) – Jun 1, 2008
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Liver Resection for Primary Intrahepatic Stones—Invited Critique

Abstract

INVITED CRITIQUE uzzo and colleagues describe an interesting se- previous surgery. They classify patients with PIL as hav- ries of 35 patients with intrahepatic lithiasis who ing stones that are found proximal to a bile duct stric- N underwent exploration at a single institution ture not caused by previous surgery or within a collec- during a 13-year period. Presentation and management tion of dilated cystic ducts, usually isolated to 1 side of of intrahepatic biliary stones is well reported...
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Publisher
American Medical Association
Copyright
Copyright 2008 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/archsurg.143.6.574
Publisher site
See Article on Publisher Site

Abstract

INVITED CRITIQUE uzzo and colleagues describe an interesting se- previous surgery. They classify patients with PIL as hav- ries of 35 patients with intrahepatic lithiasis who ing stones that are found proximal to a bile duct stric- N underwent exploration at a single institution ture not caused by previous surgery or within a collec- during a 13-year period. Presentation and management tion of dilated cystic ducts, usually isolated to 1 side of of intrahepatic biliary stones is well reported in the East- the liver. It is interesting that of the 35 patients selected ern literature, but the disease is very rare in Western coun- for partial hepatectomy, 30 had disease limited to the left tries, from where this article comes. This series nicely side. Perhaps this reflects selection bias. complements smaller series reported by Herman et al, Nuzzo and colleagues should be congratulated for the 2 3 Vetrone et al, and Di Carlo et al that represent the bulk presentation of their outstanding results. There are myriad of reports from Western countries. Nuzzo and col- therapeutic options for patients with intrahepatic lithia- leagues successfully resected the involved liver seg- sis. It is important to try to determine the etiology

Journal

JAMA Surgery – American Medical Association

Published: Jun 1, 2008

References

  • Liver resection as the definitive treatment for unilateral non-oriental primary intrahepatic lithiasis.
    Herman, P; Perini, MV; Machado, MA
  • Surgical therapy for hepatolithiasis: a Western experience.
    Vetrone, G; Ercolani, G; Grazi, GL
  • Intrahepatic lithiasis: a Western experience.
    Di Carlo, I; Sauvanet, A; Belghiti, J