引用本文:罗昆仑,余 锋,方 征,李界明,何振平.肝叶切除治疗原发性肝内胆管结石[J].中国临床新医学,2009,2(4):375-377.
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肝叶切除治疗原发性肝内胆管结石
罗昆仑,余 锋,方 征,李界明,何振平
214044 无锡,解放军第101医院肝胆外科(罗昆仑,余 锋,方 征,李界明);630000 重庆,第三军医大学西南医院全军肝胆外科研究所(何振平)
摘要:
[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。
关键词:  肝切除术  原发性肝内胆管结石
DOI:10.3969/j.issn.1674-3806.2009.04.018
分类号:R 657.4
基金项目:
The lobectomy of liver for primary intrahepatic bile duct stone
LUO Kun-lun, YU Feng, FANG Zheng, et al.
Department of Hepatobiliary Surgery, the 101th Hospital of PLA, Wuxi Jiangsu 214044, China
Abstract:
[Abstract] 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.
Key words:  Hepatectomy  Primary intrahepatic bile duct stone