Management of Intrahepatic Ductal Stones with or without Previous Biliary-Enteric Anastomosis, Single-Center Experience from the UAE

Objectives: We looked at the results of operative and nonoperative management of the intrahepatic ductal stones. Methods: We did a retrospective study of clinical and radiological records of patients with intrahepatic bile duct stones who underwent treatment by operative or nonoperative therapy. Of 11 patients with hepatolithiasis at our center, 90% were male (n = 10). All underwent follow-up after operative (n = 9), percutaneous transhepatic cholangiogram (PTC) (n = 11), biliary balloon dilatation (n = 3), or serial biliary drain upsizing (n = 6) treatment. Results: Complete stone clearance was attained in 90% of the patients. Median follow-up period was 23 months (up to 4.5 years). We noted stone recurrence in two patients. Zero mortality rate and no cholangiocarcinoma were seen. Failure of attempted primary PTC was seen in two cases which were successful in the second attempt. Conclusion: Our long-term follow-up study showed a combined approach of operative and nonoperative procedures in the management of intrahepatic bile duct stones and their related complications.

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Artikel online veröffentlicht:
26. April 2021