肝胆管结石并胆汁性肝硬化的手术处理

Operation treatment of hepatolthiasis with biliary cirrhosis

目的探讨肝胆管结石并胆汁性肝硬化的手术方式与技巧。方法对该科近13年收治的62例肝胆管结石并胆汁性肝硬化患者的临床资料特别是手术过程进行回顾性分析。结果58例患者行一次性根治术,3例二次根治,并发症48例次,ChildB、C级缓减率40%,残石4例,1例死亡。结论大部分肝胆管结石并胆汁性肝硬化可一起根治,术后肝功能可明显缓解,积极的术前检查与准备、个体化的手术方案、精细规范的手术操作是保证疗效的关键。

[Objective] To study the operative treatment of hepatolithiasis with biliary cirrhosis. [Methods] The clinical data special the course of operation of 62 cases of heaptolithiasis with biliary cirrhosis in our hospital in result 13 years was retrospectively analysed. [Results] Single radical operation was performed in 57 cases, secondly radical operation in 3 cases. 48 complication was appeared postoperative. 4 cases remained stones, a case died. The rate of hepatic function improving （child class C or B turning to B or A） was 40%. [Conclusion] Single radical operation would be performed in most of hepatolithiasis with cirrhosis. Hepatic Function would be improveing, postoperative, preoperation examation and prepartions, individual operation project, Performing operation carefully and normally was very important to the favorable effect.