Complex Intrahepatic Lithiasis: A Case Report of Combined Treatment With Surgical Exploration of the Bilioenteric Anastomosis and Laser Lithotripsy by Cholangioscopy

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSANTOS, Marcos Eduardo Lera dos
dc.contributor.authorSASSO, Joao Guilherme Ribeiro Jordao
dc.contributor.authorFIGUEIRA, Estela R.
dc.contributor.authorOLIVEIRA, Victor L. De
dc.contributor.authorARABI, Arthur Youssif Mota
dc.contributor.authorMEIRA JUNIOR, Jose Donizeti
dc.contributor.authorSILVA, Nathalia Camin Calixto Sarroche da
dc.contributor.authorMOURA, Diogo Turiani De
dc.contributor.authorJUKEMURA, Jose
dc.contributor.authorMOURA, Eduardo Guimaraes De
dc.date.accessioned2024-02-15T14:55:39Z
dc.date.available2024-02-15T14:55:39Z
dc.date.issued2023
dc.description.abstractIntrahepatic lithiasis, or hepatolithiasis, is an endemic disease in southeast Asia, although, with immigration from Eastern countries, the incidence of this pathology is rising worldwide. The Latin American experience demonstrates morbidity and mortality compatible with other Western countries, but minimally invasive procedures are lacking. We demonstrate a case of a combined surgical and endoscopic approach for stone clearance.We present a case of a 47-year-old female patient with biliary enteric anastomosis to treat recurrent pyogenic cholangitis resulting from intrahepatic lithiasis. The patient was admitted to the emergency room, presented with a new episode of cholangitis, and submitted to transcutaneous hepatobiliary drainage. The multidisciplinary approach, including the endoscopic and surgical teams, successfully performed the stone clearance with laser lithotripsy and stone removal by open access. The postoperative period was uneventful, and the patient did not present any sign of recurrence after one year. A combined surgical and endoscopic approach achieved short-term clinical and technical success in this novel case. Moreover, individualizing cases requiring open surgical access is feasible, which allows a combined endoscopic approach with safety.eng
dc.description.indexPubMed
dc.description.indexWoS
dc.identifier.citationCUREUS JOURNAL OF MEDICAL SCIENCE, v.15, n.9, article ID e45225, 6p, 2023
dc.identifier.doi10.7759/cureus.45225
dc.identifier.eissn2168-8184
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/58187
dc.language.isoeng
dc.publisherSPRINGERNATUREeng
dc.relation.ispartofCureus Journal of Medical Science
dc.rightsopenAccesseng
dc.rights.holderCopyright SPRINGERNATUREeng
dc.subject.otherhepatolithiasiseng
dc.subject.wosMedicine, General & Internaleng
dc.titleComplex Intrahepatic Lithiasis: A Case Report of Combined Treatment With Surgical Exploration of the Bilioenteric Anastomosis and Laser Lithotripsy by Cholangioscopyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.contributor.author-fmusphcMARCOS EDUARDO LERA DOS SANTOS
hcfmusp.contributor.author-fmusphcJOAO GUILHERME RIBEIRO JORDAO SASSO
hcfmusp.contributor.author-fmusphcESTELA REGINA RAMOS FIGUEIRA
hcfmusp.contributor.author-fmusphcARTHUR YOUSSIF MOTA ARABI
hcfmusp.contributor.author-fmusphcJOSE DONIZETI DE MEIRA JUNIOR
hcfmusp.contributor.author-fmusphcNATHALIA CAMIN CALIXTO SARROCHE DA SILVA
hcfmusp.contributor.author-fmusphcDIOGO TURIANI HOURNEAUX DE MOURA
hcfmusp.contributor.author-fmusphcJOSE JUKEMURA
hcfmusp.contributor.author-fmusphcEDUARDO GUIMARAES HOURNEAUX DE MOURA
hcfmusp.description.articlenumbere45225
hcfmusp.description.issue9
hcfmusp.description.volume15
hcfmusp.origemWOS
hcfmusp.origem.wosWOS:001106809700029
hcfmusp.publisher.cityLONDONeng
hcfmusp.publisher.countryENGLANDeng
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