Indication and Procedure for Treatment of Hepatolithiasis

Authors:
  • HOHironobu Onishi
    Hironobu Onishi
  • MTMasaji Tani
    Masaji Tani
  • HKHiroyuki Kinoshita
    Hiroyuki Kinoshita
  • MUMasaki Ueno
    Masaki Ueno

Abstract
HEPATOLITHIASIS is a common disease in Southeast Asia, and the relative incidence of hepatolithiasis is 20% in China and Taiwan.1,2 However, our study3 in Japan investigated 105 062 patients with cholelithiasis between 1989 and 1992 and found that 2353 of these patients (2.2%) had hepatolithiasis. In Japan, the number of patients with hepatolithiasis also is lower compared with previous nationwide statistics.3 This decrease could be attributable to the fact that as the number of patients undergoing laparoscopic cholecystectomy increased, the size of the patient pool increased, thus lowering the relative incidence of choledocholithiasis and hepatolithiasis.4

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