腹腔镜肝切除治疗肝内胆管结石的临床研究

Clinical study of laparoscopic hepatectomy for hepatolithiasis

目的探讨腹腔镜肝切除治疗肝内胆管结石的可行性。方法8例肝内胆管结石患者均在腹腔镜下行胆囊切除胆总管切开胆道镜取石、T管引流,其中7例同时行腹腔镜左肝外叶切除,1例行左半肝切除。结果8例手术均获成功,手术时间(285.00±37.42)min;术中出血(306.25±29.73)mL,手术后无并发症,住院时间(7.88±1.36)d;残石率0。结论腹腔镜肝叶切除治疗肝胆管结石疗效好、安全,联合胆道镜取石疗效更佳。

Objective To explore the feaibility of laparoscopie hepatectomy （LH） for hepatolithiasis. Methods Eight patients with hepatolithiasis were treated by laparoscopic cholecystectomy （ LC ） and common bile duct exploration （ LCBDE ） and LH. Laparoscopic resection of left lateral lobe of liver was performed in 7 cases, and left hemihepatectomy in 1 case. Results Procedures were all successful with operation time of （ 285.00 ± 37.42 ） minutes and bleeding volume （ 306.25±29.73 ） mL. The postoperative hospital stay was （7. 88 ± 1. 36 ） days. No complications occurred. No residual stone was found in any patient. Conclusions LH was safe and effective for hepatolithiasis, and gives better results when combined with choledoscopic stone removal.