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Classification of Primary Hepatolithiasis According to Morphology of the Liver, Especially Atrophy of Hepatic Parenchyma
http://hdl.handle.net/10069/15958
http://hdl.handle.net/10069/15958165367a5-02c7-4444-856a-e45b8faa245c
名前 / ファイル | ライセンス | アクション |
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acta38_02_55_t.pdf (667.6 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2008-03-13 | |||||
タイトル | ||||||
タイトル | Classification of Primary Hepatolithiasis According to Morphology of the Liver, Especially Atrophy of Hepatic Parenchyma | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
Furukawa, Masato
× Furukawa, Masato× Furui, Junichiro× Otsubo, Mitsuji× Fujio, Toshiyuki× Miyazaki, Kunihisa× Yasaka, Takahiro× Shirahama, Satoshi× Kusano, Toshiomi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | One hundred twenty one patients with primary hepatolithiasis (PHL) was encountered for the last 7 years. In order to elucidate how to follow and treat PHL, PHL was classified into five types (I-V) on the basis of morphological findings obtained by CT. It depends mainly on the presence of atrophy of hepatic parenchyma (AHP) and dilatation of intrahepatic bile ducts (DIBD). Methods of treatment were selected for each patient according to the classification. Type I patients comprised of 43.8% in observation group. These patient were asymptomatic and just followed since neither APH nor DIBD were observed. The remaining patients in the observation group, operation was refused or contraindicated. Most of them were asymptomatic. Surgical treatments were done on 47 patients (hepatic resection in 32 patients, surgical lithotomy in 10 and others in 5). In Type III, IV and V, hepatic resection was often performed to remove all of stones and bile stasis since improvement in hepatic function could not be expected in view of AHP. All patients were followed-up 79 months or less. In the surgically terated patients, recurrence was not observed. In observation group, no new symptome developed during the follow-up period. It was suggested, therefore, that the present classification of PHL was helpful in determining therapeutic strategy for PHL. | |||||
書誌情報 |
Acta medica Nagasakiensia 巻 38, 号 2-4, p. 288-292, 発行日 1993-12-25 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
sortkey | ||||||
P00288-P00292 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia. 1993, 38(2-4), p.288-292 |