腹腔镜下肝切除术治疗肝内胆管结石(附11例报告)

Treatment of hepatolithiasis by total laparoscopic liver resection:A report of 11 cases

目的探讨运用腹腔镜技术肝切除治疗肝内胆管结石的可行性。方法回顾性分析我院2005年6月-2007年12月行腹腔镜肝切除的11例肝内胆管结石的临床资料。结果本组11例手术均获得成功，无中转开腹，无术后并发症。平均手术时间（203±53．8）rain，术中平均出血量（189±50．3）ml，病人平均住院时间（7±2．63）d。结论采用腹腔镜肝切除术治疗肝内胆管结石，技术安全可行，并能大大减轻病人的手术创伤。

Objective To explore the feasibility of treating hepatolithiasis by total laparoscopic liver resection. Methods Total laparoscopic liver resections were performed on 11 patients between June 2005 and December 2007. Results The operation was successfully performed on all the 11 patients. The operative duration was （203 ± 53. 8）min. The blood loss during the operation was （189± 50. 3）ml. The average hospital stay was（7. 00 ±2. 63）days. There was no postoperative complications. Conclusion Treatment of hepatolithiasis by total laparoscopic liver resection is safe, effective, and minimally invasive for liver surgery. Meanwhile, postoperative complications can be decreased by using the technique.