规则性肝切除联合胆道镜治疗肝内胆管结石43例

Regular hepatotomy combined with choledchoscope for hepatolithiasis:a report of 43 cases

目的:探讨肝内胆管结石有效治疗方法。方法:43例肝内胆管结石均根据结石部位行规则性肝切除联合胆道镜探查取石。结果:术后症状未消失2例,其中偶有胆管炎发作1例,胆管炎反复发作,有残余结石,需再次手术1例。结论:规则性肝切除联合胆道镜治疗肝内胆管结石不仅安全、有效,而且明显降低结石残余率。

Objective：To explore an effective procedure for management of hepatolithiasis.Methods：The clinical data of 43 patients with hepatolithiasis were analyzed retrospectively.All the cases were treated by regular hepatotomy combined with choledchoscope according to the stone location.Results：No improvement was observed in 2 cases.One of them occasionally had cholangitis,and the other had residual stones and recurrent cholangitis which needed reoperation.Conclusions：The procedure of regular hepatotomy combined with choledochoscope is safe and effective,and may significantly reduce the rate of residual stones.