肝部分切除治疗肝胆管结石414例

Segmental hepatectomy for hepatolithiasis, a clinical analysis of 414 cases

目的总结肝部分切除治疗原发性肝胆管结石的经验.方法回顾性分析1981年1月至2001年12月肝部分切除治疗原发性肝胆管结石414例的临床资料,统计结石的分布、术式的选择、术后并发症情况及治疗效果.结果414例中发生术后并发症72例(17.4%),手术死亡3例(0.7%),305例获得2～22年随访,随访率73.7%,疗效优良率88.9%,残石率15.7%,结石复发率4.6%.结论正确掌握肝部分切除是治疗原发性肝胆管结石的有效方法之一.

Objective ： To evaluate the therapeutic effect ofsegmental hepatectomy for intrahepatic bile duct stones. Methods In this study, 414 patients suffering from intrahepatic bile duct stones underwent hepatectomy from Jan 1981 to Dec 2001. Stones distribution, operation modality, postoperative complication and therapeutic effect were evaluated. Results Postoperative complications occurred in 72 cases（ 17.4% ） , mortality was 0. 7%. A follow up of 2 to 22 years was achieved in 305 patients （73.7%）, with excellent or good result in 88.9%, residual stone in 15.7%, and stone recurrence in 4.6%. Conclusion Appropriate use of hepatectomy is effective for the treatment of intrahepatic bile duct stones.