papellitis 9 cases(1.2%), agensis of gallbladder 3 cases(0.4%).
The age of peak incidence is between 41 to 50 (209 cases of 27.8%). The sex incidence of male to female is 288 cases to 463 cases, so that the ratio is 1.7 predomination in the female.
There appeared to be little difference in the symptoms and signs according to the different disease entity.
Except biliary clonorchiases, the most prominent symptoms and signs are pain in the right upper quadrant of abdomen with or without radiation to the right shoulder.
The jaundice are encountered more often in Korean than in Occidentals.
Empyemal of gallbladder and ascending cholangitis showed almost Charcot's triad and its peak age incidence is between 51-60 yrs old.
About less than half of the patients showed some degree of hepatic dysfunction.
among these the most prominent finding is elevated serum bilirubin level.
Similar findings are noted in the common duct, that is, 139 cases had more than 1.0cm of C.B.D diameter from total 192 cases.
Parasitic biliary disease should be treated with antihelminthics preoperatively and postoperatively.
Time of operation are selected on the individual base, but there appeared to be a tendency of early intervention except the occasion there is strong contraindication for surgery.
Due to the fact of high recommended that the routine use of operative cholangiography.
Treatment for intrahepatic stone are mainly aimed for some kind of by-pass drainage procedure.
The most common post-operative complication are wound infection(10 cases), pneumonia(4 cases), excess bile leakage(8 cases), wound dehiscence(4 cases), pancreatitis(3 cases), subphrenic abscess( 2 cases) and atelectasis(2 cases). There
are 8 deaths in the 751 cases or a mortality of 1.5%.
It is suggested that silent gallstone are recommended to have operation in young aged people, but above 65 yrs old people are better to treat conservatively.