肝部分切除联合胆道镜治疗肝内胆管结石  

Combination of partial hepatectomy with choledochoscopy for the treatment of hepatolithiasis

作　　者：程新生 缪丁丁 郑永彬 高金亭 王甫誉 林树俊 

机构地区：[1]深圳市第六人民医院肝胆外科,深圳518052

出　　处：《岭南现代临床外科》2010年第2期87-89,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨肝部分切除联合胆道镜治疗肝内胆管结石的疗效。方法回顾性分析近4年肝部分切除联合胆道镜治疗肝胆管结石42例的治疗方法和疗效。结果术后全组无死亡病例,发生切口感染4例(9.6%),胆漏2例(占4.7%),肺部感染3例(占7.1%)。手术后疗效优良者35例,优良率86.8%。结石复发3例(13.2%)。结论肝部分切除联合胆道镜的使用是治疗肝胆管结石的有效手段,可减低术后残石及结石复发率。Objective To discuss the clinic effects of partial hepatectomy with choledochoscope for the treatment of hepatolithiasis. Methods In recent 4 years, 42 cases with hepatolithiasis received combination of partial hepatectomy and choledochoscopy were retrospectively analyzed. Results There were no death after operation. Nine patients had complications, including incision infection （4 cases 9.6%）, biliary leakage （2 cases 4.7%） and pulmonary infection （3 cases 7.1%）. Excellent outcome was founded in 35 patients （86.8%） and 3 patients （13.2%） had recurrence of calculi. Conclusion Combination of partial hepatectomy with choledochoscope was effective for treatment of hepatolithiasis. It would reduce postoperative residual calculi and recurrence rate of calculi.

关 键 词：肝胆管结石 肝切除 胆道镜 

分 类 号：R657.4[医药卫生—外科学]