Totally laparoscopic hepatic resection for left biliary system lithiasis

Nicola M Romano, MD, Giancarlo M Basili, MD, Giuseppe Celona, MD, Dario M Pietrasanta, MDPhd, Valerio M Gentile, MD, Orlando M Goletti, Prof

General Surgery Unit ‘F.Lotti’ Hospital Pontedera (PI) Chief Prof. Orlando Goletti

Introduction: Intrahepatic stones are rare condition in western country. Biliary pain and episodes of cholangitis are the most common presenting symptoms, whereas intrahepatic cholangiocarcinoma represents a long-term unfavorable complication of the disease. When a single liver lobe or segment is involved, partial hepatectomy may be regarded today as an effective method of treatment. WE present our experience of hepatic resection for intrahepatic gallstones.

Case report: A sixty six years old female patient reached to our observation for recurrent episodes of cholangitis. In previous medical history the patient was submitted to laparoscopic cholecystectomy for gallbladder stones. After the surgical procedure the patient suffered for recurrent cholangitis. For this clinical picture the patient underwent to cholangio MRI that evidenced the presence of multiple gallstones in the left intrahepatic biliary tree. The patient was submitted to laparoscopic hepatic left resection.

Conclusion: Primary intrahepatic lithiasis more commonly involves 1 single liver segment or lobe. Partial hepatectomy is a safe and effective procedure, allowing definitive treatment of the disease and prevention of cancer.

Session: Poster Presentation

Program Number: P367

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