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윤광수(Kwang Soo Yoon),김수용(soo Yong Kim),노병선(Byung Seon Rhoe),박덕훈(Duk Hoon Park),유수영(Soo Young Too) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.2
N/A In contrast to ordinary cholelithiasis, intrahepatic stones present serious many problems in treat- ment. The management of primary intrahepatic stones is complex and unsatisfactory at times. The clinical analysis of intrahepatic stones are important for understanding of cause and treatment. We studied 55 cases of intrahepatic stones from 321 patients with hepatobiliary stones and the the results as follows. 1) Among the 321 patients with hepatobiliary stones, intrahepatic stones were 55 cases (17.1%) 2) The most common age group was 2nd decade and male to female ratio was 1:3 3) The chief symptoms and signs were RUQ pain (78.1%) and tenderness (63.6%), epigastric discomfort and pain (50.9%) 4) At laboratory findings, serum bilirubin (72.7%) and alkaline phosphatase (56.3%) were increased. Among diagnostic radiologic studies, ultrasonogram, PTC and ERCP were most dffective and reliable than other radiologic studies. 6) Operative procedures were as follows. (1) CBD exploration and T-tube choledochostomy, (2) Choledochoduodenostomy, (3) Roux-en - Y- hepaticojejunostomy (Lt. duct aproach) was considered to be more effective than other procedures. I) Post-operative complications were 11 cases (20%) and residual stones were 22 cases (10%).