联合肝叶肝段切除治疗多叶段肝内胆管结石的临床体会

Clinical experience in combined lobectomy and segmentectomy of liver for the treatment of multiple lobe-segment hepatolithiasis

目的探讨联合肝叶肝段切除治疗多叶段肝内胆管结石的方法及疗效。方法回顾性分析2004年12月～2007年3月联合肝叶肝段切除治疗多叶段肝内胆管结石12例的临床资料。结果全组无手术死亡,术后并发膈下感染者1例(8%),腹腔脓肿1例(8%),胆漏2例(16%),1例合并乙肝患者术后一过性肝衰(8%),均经抗感染、止血、引流,对症处理和支持疗法而获痊愈。结论联合肝叶肝段切除术是治疗多叶段肝内胆管结石安全有效的手段。

Objective To explore the method and effect of combined lobectomy and segmentectomy of liver for the treatment of the patients with multiple lobe-segment hepatolithiasis. Methods From December 2004 to March 2007,12 cases with multiple lobe-segment hepatolithiasis received combined lobectomy and segmentectomy of liver were analyzed retrospectively. Results No patient died in this group. The main postoperative complications were biliary leakage （16%）, subphrenic infection （8%）, peritoneal abscess （8%）and liver failure （8%）.Conclusions Combined lobectomy and segmentectomy of live is a safe and feasible method for the treatment of multiple lobesegment hepatolithiasis.