摘要
【目的】探讨肝部分切除治疗肝内胆管结石的临床价值。【方法】对72例肝内胆管结石患者行左外叶切除术39例,左半肝切除术14例,右前叶切除术5例,右后叶切除术1例,右半肝切除术1例,左肝和右肝叶(段)联合切除术12例。全组附加胆道探查45例(62.6%),胆肠吻合术23例,胆道探查术后常规留置T管。【结果】术后并发症8例(11.1%),无手术死亡。65例(90.1%)随访3个月至7年,优良率92.3%。【结论】肝部分切除术是治疗肝内胆管结石的有效手段,能减少术后并发症的发生,提高优良率。
【Objective】To investigate the therapeutic effect of segmental hepatectomy for intrahepatolithiasis.【Methods】Of 72 patients,39 received left lateral lobectomy,14 received left hemilobectomy,5 received right anterior lobectomy,one received right posterior lobectomy,one received right hemilobectomy and 12 were performed right hepatectomy associated with left hepatectomy.All operations included segmentectomy associated with hepaticojejunostomy in 23 cases,bile duct exploration in 45 cases,T-tube rountinely placed after bile duct exploration.【Results】The postoperative complications were found in 8 cases（11.1%） and no cases died after the operation.Sixty-five（90.1%） cases had been followed up for 3 months to 7 years,among them therapeutic effect of 60 cases（92.3%） was excellent or good.【Conclusion】Appropriate use of partial hepatectomy is effective for treatment of intrahepatolithiasis.It could decrease the incidence rate of complications and enhance the excellent or good rate of effect.
出处
《医学临床研究》
CAS
2007年第6期940-942,共3页
Journal of Clinical Research
关键词
胆管
肝内
胆结石/外科学
肝切除术
bile ducts,intrahepatic
cholelithiasis/SU
hepatectomy
