肝左外叶切除治疗肝内胆管结石42例临床分析

Left lateral lobectomy of liver in the treatment of hepatolith:analysis of 42 cases

目的分析肝左外叶切除术治疗肝内胆管结石的临床疗效。方法42例肝内胆管结石患者,经过术前检查、确诊,采用了手术切除肝左外叶治疗,术后观察患者的疗效和预后。结果42例患者均接受了外科手术治疗,经过术后临床观察,临床治愈38例,自动出院1例,死亡3例,病死率7.1%。术后出现并发症9例,发生率21.4%,包括切口感染、胆汁外漏、肝内胆管小结石残留等。结论肝左外叶切除术是治疗肝内胆管结石的一种安全、有效的方法。

Objective To analyze the clinical effects of left lateral lobectomy of liver in patients with hepatolith. Methods Forty-two patients with hepatolith were recruited in our hospital and received surgical treatment for left lateral lobectomy of liver. The prognosis and operative effects were analyzed in these patients. Results All 42 patients were treated with left lateral lobectomy of liver. The results demonstrated that 38 patients recovered after operation, 1 self - discharged and 3 patients died （7.1%）. Post-operative complications included infection, bile leak and intra-liver stone residue. Conclusion Left lateral lobectomy of liver is effective in treating hepatolith.