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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We read with interest the recommendations by Cheung and Kwok¹ that the indications for liver resection in patients with complex hepatolithiasis could be extended to include those with intrahepatic strictures and bilateral stones. Of their 52 patients who underwent liver resection for hepatolithiasis, 7 required postoperative choledochoscopy and stone extraction via a T-tube track. After liver resection, the chances of subsequent cholangitis was 13.3% at 5 years and 43% at 10 years.¹ No data are provided on the management of these patients who presumably underwent percutaneous transhepatic choledochoscopic intervention. No mention is made of the length of time, duration of hospital stay, or total cost from initial surgery to completion of ultimate stone clearance in those with recurrent stones. While undergoing repeated percutaneous biliary intervention, patients have the discomfort and inconvenience of external T-tubes and stoma appliances to control the invariable and distressing bile leakage around the external biliary catheters. . . . [Full Text of this Article]

AUTHOR INFORMATION
J. E. J. Krige, FRCS, FCS(SA); S. J. Beningfield

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