应用左肝胆管径路治疗肝内外胆管结石  

The route through left hepatic duct and left bile duct in the treatment of intra-and extrahepatic lithiasis

作　　者：王和鑫[1] 梁志鹏[1] 高焱明[1] 

机构地区：[1]广东医学院附属湛江中心医院肝胆外科,524037

出　　处：《腹部外科》2006年第2期92-93,共2页Journal of Abdominal Surgery

摘　　要：目的探讨经左肝胆管径路治疗肝内外胆管结石的临床价值。方法回顾性分析我院近10年来应用左肝胆管径路治疗肝内外胆管结石56例的临床资料。结果经剑突下小切口左肝管径路取石26例,结石一次性取净率为84.6%;经左肝外叶断面径路取石30例,结石一次性取净率为93.3%。全组病例术后临床症状消失,黄疸消退。结论经左肝胆管入镜治疗合并左肝胆管结石的肝内外胆管结石安全、有效,特别是对于肝门部严重粘连的病人。Objective To explore the clinical value of the route through left hepatic duct and left bile duct in the treatment of intra- and extra-hepatic lithiasis. Methods A small incision was made under appendix ensiformis, then calculus was cleared by eholelithoseope inserted through left lateral lobe of the liver or hepatic duct of the cross-section after left lateral lobeetomy of the liver. Results There were 26 cases treated with the former method and 30 cases with the latter one with the once clearing rate of the two methods being 84. 6% and 93.3% respectively. The symptoms in all the patients disappeared and jaundice vanished after operation. Conclusion The two techniques are feasible in the treatment of left intra-and extra-hepatic lithiasis and don＇t increase complieations and residual rate.

关 键 词：外科学 腹腔镜 胆结石 肝切除术 

分 类 号：R657.42[医药卫生—外科学] R699.2[医药卫生—临床医学]