手术结合胆道镜治疗肝胆管结石750例

Therapeutic experience of Hepatobiliary gallstone by surgery combined with choledochoscopy(a series report of 750 cases)

目的 总结肝胆结石的外科治疗经验。方法 对750例肝胆管结石病人进行手术治疗及随访,所有病人术后均作胆道镜检查。结果 术后发现残余结石197例。残石率是26.2％。在胆道镜的引导下,181例的残余结石被取净。在随访679例中,治疗效果优良率88.5％。结论 完善的术前检查和准备,适当的手术方法以及熟练技术对手术的成功是非常重要的。为了减少残余结石,在肝胆管结石的病人,手术后常规的胆道镜检查是必要的。

To summarize the experience of surgical treatment of hepatobiliary gallstones. Meth-ods 750 patients with hepatobiliary gallstones were operated on and followed up. All of them were checked with choledochoscopy after operation. Results Residual stones were found in 197 cases after operation. The rates of residual stones were 26.2%.The residual stone of 181 cases were cleared out under the guidance of choledocho-scopy. In 679 cases followed up, the excellent rate of therapeutic efficacy was 88.5%. Conclusion A perfect preoperative examination and preparation, selecting proper surgical manner were very important for operative success. Postoperative choledochscopic examination as a routine in patients with hepatobiliary gallstones are nec-essary for reducing residual stones.