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Richard D. Schulick, MD

Arch Surg. 2008;143(6):574.

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

Nuzzo and colleagues describe an interesting series of 35 patients with intrahepatic lithiasis who underwent exploration at a single institution during a 13-year period. Presentation and management of intrahepatic biliary stones is well reported in the Eastern literature, but the disease is very rare in Western countries, from where this article comes. This series nicely complements smaller series reported by Herman et al,¹ Vetrone et al,² and Di Carlo et al³ that represent the bulk of reports from Western countries. Nuzzo and colleagues successfully resected the involved liver segments in 34 of the patients (1 patient had unresectable cholangiocarcinoma). They report very acceptable mortality and morbidity rates of 0.0% and 20.0%, respectively, and good long-term results in patients with long-term follow-up. Of note, 3 of the 35 patients (8.6%) in their series had cholangiocarcinoma.

This series focuses on patients who were selected for partial hepatectomy. As . . . [Full Text of this Article]

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Liver Resection for Primary Intrahepatic Stones: A Single-Center Experience
Gennaro Nuzzo, Gennaro Clemente, Ivo Giovannini, Agostino M. De Rose, Maria Vellone, Gerardo Sarno, Domenico Marchi, and Felice Giuliante
Arch Surg. 2008;143(6):570-573.
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