肝叶切除治疗原发性肝内胆管结石  

The lobectomy of liver for primary intrahepatic bile duct stone

作　　者：罗昆仑[1] 余锋[1] 方征[1] 李界明[1] 何振平[2] 

机构地区：[1]解放军第101医院肝胆外科,无锡214044 [2]第三军医大学西南医院全军肝胆外科研究所,重庆630000

出　　处：《中国临床新医学》2009年第4期375-377,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的了解肝叶切除治疗原发性肝内胆管结石的效果。方法回顾性分析6年来对52例肝内胆管结石行肝叶切除联合其它术式的治疗效果。结果右半肝切除术2例,右后叶切除术2例,非规则性右肝部分切除术9例,左半肝切除术13例,左外叶切除术26例。术后残石发生7例,经胆道镜取净5例。结论肝叶切除治疗原发性肝内胆管结石是目前较理想的有效的手术方式。Objective To summarize the therapeutic effect of lobectomy of liver for primary intrahepatic bile duct stone.Methods The clinical therapeutic effect of 52 cases suffering from intrahepatic bile duct stone who underwent lobectomy of liver with other operation modality in nearly 6 years were retrospectively analyzed.Results Among all the cases,2 cases were treated with right lateral hepatectomy,2 cases with right posterior lobe liver resection,9 cases with irregular liver resection,13 cases with left half liver resection,26 cases with left lateral lobe resection.Remnant stones were found in 7 cases after operation,the stones of 5 cases were removed by choledochoscopy.Conclusion Lobectomy of liver is now a ideal method for the treatment of primary intrahepatic bile duct stone.

关 键 词：肝切除术 原发性肝内胆管结石 

分 类 号：R657.4[医药卫生—外科学]