{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T16:38:17Z","timestamp":1764002297886,"version":"3.41.2"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"4","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Background:  Primary intrahepatic lithiasis is defined when the stones are formed in the liver and associated with local dilatation and biliary stricture. Liver resection is the ideal procedure.  Aim:  To evaluate the results of liver resection in the treatment of non-oriental intrahepatic lithiasis.  Methods:  Fifty-one patients with symptomatic benign non-oriental hepatolithiasis underwent surgical resection in six institutions in Brazil. Demography data, clinical symptoms, classification, diagnosis, management and postoperative course were analyzed.  Results: Of the 51 patients, 28 were male (54.9%), with a mean age of 49.3 years. History of cholangitis was observed in 15 (29.4%). The types of intrahepatic lithiasis were type I in 39 (76.5%) and type IIb in 12 (23.5%), with additional type Ea in six (11.8%). Liver function test were normal in 42 patients (82.4%). Segmental atrophy was observed in 12 (23.5%). Treatments included left lateral sectionectomy in 24 (47.1%), left hepatectomy in 14 (27.5%) and right hepatectomy in eight (15.7%), with associated hepaticojejunostomy in four (7.8%). Laparoscopic liver resection was performed in eight (15.7%). Postoperative complications were observed in 20 (39.2%) with no mortality.  Conclusion: Liver resection in patients with hepatolithiasis is the ideal procedure as it removes stones, stricture, atrophic parenchyma, and minimizes the risk of cholangiocarcinoma.<\/jats:p>","DOI":"10.1590\/0102-672020190001e1463","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T12:58:18Z","timestamp":1576846698000},"source":"Crossref","is-referenced-by-count":6,"title":["LIVER RESECTION FOR NON-ORIENTAL HEPATOLITHIASIS"],"prefix":"10.1590","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7398-5395","authenticated-orcid":false,"given":"Orlando Jorge Martins","family":"TORRES","sequence":"first","affiliation":[{"name":"Federal University of Maranh\u00e3o,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9540-5937","authenticated-orcid":false,"given":"Marcelo Moura","family":"LINHARES","sequence":"additional","affiliation":[{"name":"Escola Paulista de Medicina,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7151-9956","authenticated-orcid":false,"given":"Eduardo Jos\u00e9 B","family":"RAMOS","sequence":"additional","affiliation":[{"name":"NS das Gra\u00e7as Hospital,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2510-0193","authenticated-orcid":false,"given":"Paulo Cezar G","family":"AMARAL","sequence":"additional","affiliation":[{"name":"Hospital S\u00e3o Raphael,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5630-5004","authenticated-orcid":false,"given":"Marcos","family":"BELOTTO","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7166-3088","authenticated-orcid":false,"given":"Angelica Maria","family":"LUCCHESE","sequence":"additional","affiliation":[{"name":"Santa Casa de Porto Alegre,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9516-139X","authenticated-orcid":false,"given":"Romerito Fonseca","family":"NEIVA","sequence":"additional","affiliation":[{"name":"Federal University of Maranh\u00e3o,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7681-3719","authenticated-orcid":false,"given":"Theago Medeiros","family":"FREITAS","sequence":"additional","affiliation":[{"name":"Federal University of Maranh\u00e3o,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0347-8125","authenticated-orcid":false,"given":"Rodolfo","family":"SANTANA","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5462-1716","authenticated-orcid":false,"given":"Josiel Paiva","family":"VIEIRA","sequence":"additional","affiliation":[{"name":"Federal University of Maranh\u00e3o,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8399-6875","authenticated-orcid":false,"given":"Jaldo Santos","family":"FREIRE","sequence":"additional","affiliation":[{"name":"Federal University of Maranh\u00e3o,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3060-8327","authenticated-orcid":false,"given":"Camila Cristina S","family":"TORRES","sequence":"additional","affiliation":[{"name":"Federal University of Maranh\u00e3o,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Nocchi","family":"KALIL","sequence":"additional","affiliation":[{"name":"Santa Casa de Porto Alegre,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1007\/s00268-015-3227-x","article-title":"Liver resection for primary intrahepatic stones focus on postoperative infectious complications","volume":"40","author":"Clemente G","year":"2016","journal-title":"World J Surg"},{"key":"ref2","first-page":"151","article-title":"Classification and management of hepatolithiasis A high-volume, single-center's experience","volume":"1","author":"Feng X","year":"2012","journal-title":"Intract Rare Dis Res"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1590\/0102-672020180001e1355","article-title":"Liver resection in brazil a national survey","volume":"31","author":"Fonseca GM","year":"2018","journal-title":"Arq Bras Cir 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A prospective cohort study","volume":"12","author":"Kassem MI","year":"2014","journal-title":"Int J Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"7791","DOI":"10.3748\/wjg.v23.i43.7791","article-title":"Laparoscopic VS open hepatectomy for hepatolithiasis An updated systematic review and meta-analysis","volume":"23","author":"Li H","year":"2017","journal-title":"World J Gastroenterol"},{"key":"ref11","first-page":"1","article-title":"Segmental bile duct-targeted liver resection for right-sided intrahepatic stones","volume":"94","author":"Li SQ","year":"2015","journal-title":"Medicine"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1038\/modpathol.2013.241","article-title":"Morphological subclassification of intrahepatic cholangiocarcinoma etiological, clinicopathological, and molecular features","volume":"27","author":"Liau JY","year":"2014","journal-title":"Modern Pathology"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"2169","DOI":"10.3748\/wjg.v21.i7.2169","article-title":"Preliminary study of a new pathological evolution-based clinical hepatolithiasis classification","volume":"21","author":"Liu FB","year":"2015","journal-title":"World J Gastroenterol"},{"key":"ref14","first-page":"127","article-title":"Comparison of laparoscopic versus open left hemihepatectomy for left-sided hepatolithiasis Int. 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Med","volume":"11","author":"Namgoong JM","year":"2014","journal-title":"Sci"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"173","DOI":"10.14701\/ahbps.2016.20.4.173","article-title":"Incidence of underlying biliary neoplasm in patients after major hepatectomy for preoperative benign hepatolithiasis","volume":"20","author":"Park HM","year":"2016","journal-title":"Ann Hepatobiliary Pancreat Surg"},{"key":"ref16","first-page":"176","article-title":"Hepatic lobectomy and segmental resection of liver for hepatolithiasis","volume":"63","author":"Qiao O","year":"2014","journal-title":"West Indian Med J"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2017\/7213043","article-title":"Four major factors contributing to intrahepatic stones","volume":"21","author":"Ran X","year":"2017","journal-title":"Gastroenterol Res Pract"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1111\/j.1477-2574.2009.00046.x","article-title":"Surgical management of hepatolithiasis","volume":"11","author":"Sakpal SV","year":"2009","journal-title":"HPB"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1111\/j.1477-2574.2012.00534.x","article-title":"Left-sided hepatic resection for hepatolithiasis a longitudinal study of 110 patients","volume":"14","author":"Shah OJ","year":"2012","journal-title":"HPB"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s00464-015-4200-3","article-title":"Comparison of laparoscopic versus open left-sided hepatectomy for intrahepatic duct stones","volume":"30","author":"Shin YC","year":"2016","journal-title":"Surg Endosc"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1002\/jhbp.116","article-title":"Hepatolithiasis analysis of Japanese nationwide surveys over a period of 40 years","volume":"21","author":"Suzuki Y","year":"2014","journal-title":"J Hepatobiliary Pancreat Sci"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v32n4\/0102-6720-abcd-32-04-e1463.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T23:35:31Z","timestamp":1596238531000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202019000400302&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":21,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019]]}},"alternative-id":["S0102-67202019000400302"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020190001e1463","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"type":"electronic","value":"2317-6326"},{"type":"print","value":"0102-6720"}],"subject":[],"published":{"date-parts":[[2019]]},"article-number":"e1463"}}