肝胆管结石循肝中静脉的解剖法半肝切除

Dissection half hepatectomy along middle hepatic vein (MHC) in hepatolith

目的探讨肝胆管结石中解剖性半肝切除技术。方法对湖南省人民医院肝胆五科2009年12月~2011年12月因为肝胆管结石施行的28例解剖性半肝切除的临床资料进行回顾性分析。结果平均手术时间（4.68±1.48）h（4.5~7.5 h）,平均失血量（108.3±48.6）mL（80~320 mL）,术后无膈下脓肿、胆漏及出血等并发症,平均住院时间（12.8±7.5）d（9~19 d）。结论肝中静脉是肝胆管结石中解剖法半肝切除的标志。

[ Objective ] To discuss surgical technique of dissection half hepatectomy in hepatolith. [ Methods ] Clinical data of 28 cases of dissection half hepatectomy was retrospectively analyzed from December 2009 to De- cember 2011 in the Fifth Hepatobiliary Department, Hunan Provincial People＇s Hospital. [Results] In all 28 cases, mean operation time was （4.68±1.48）h （4.5-7.5 h）, mean blood loss was （108.3±48.6） mL （80-320 mL）. There was not such severe complications as subphrenic abscess, biliary fistula and massive hemorrhage, mean hospital stay was （12.8±7.5）d （9-19 d）. [Conclusions] Middle hepatic vein is the sign of dissection half hepatectomy in hepatolith.