肝切除治疗肝内胆管结石86例分析

Hepatectomy for the treatment of hepatolithiasis:a report of 86 cases

目的探讨肝切除术治疗肝内胆管结石的效果。方法回顾分析1996年8月～2006年8月采用肝切除术治疗86例肝内胆管结石患者的结石部位和分布情况、手术方式、手术后并发症等情况。结果肝内胆管结石以左肝为主（61例）。肝切除也以左肝叶段切除占多数（68例）；9例出现手术后并发症（14．8％）。无手术死亡。随访3月～12年．优良效果者占93．3％。结论肝切除术是治疗肝内胆管结石的有效方法。

Objective To evaluate the therapeutic effect of hepatectomy for hepatolithiasis. Methods From August 1996 to August 2006, 86 patients with hepatotithiasis underwent Hepatectomy. The results were analysed retrospectively, including distribution of stones, patterns of operation, postoperative complications. Result Left hepatolithiasis was the most common form（61 cases）;left lateral lobectomy and left Hepatectomy were most commonly performed procedures（68 cases）. Post operative complications occurred in 9 patients （14.8%） and no operative mortality. Follow-up period from three months to twelve years demonstrates that 93. 3% of cases are excellent or with good result. Conclusion Hepatectomy is an effective method for hepatolithiasis.