精准肝切除技术在治疗右侧肝胆管结石中的应用

Clinical application of precise hepatectomy techniques in right intrahepatic bile duct stones

目的:探讨精准肝切除治疗右侧肝内胆管结石的临床应用价值。方法:回顾性分析2005年5月—2010年8月43例精准肝切除与32例非规则性肝切除治疗右肝内胆管结石的病例资料,比较两组患者的手术时间、术中出血量、术后并发症、住院时间、结石清除率和住院时间等。结果:与非规则性肝切除组相比,精准肝切除组患者手术时间长(P<0.01),但术中出血量少(P<0.01),术后并发症少(P<0.01),结石清除率高(P<0.01),患者住院时间短(P<0.05)。结论:右肝叶(段)精准切除是提高右肝胆管结石手术治疗效果、减少并发症的有效途径。

Objective： To explore the curative effect of precise hepatectomy techniques in bile duct stone.Methods： Totally 43 patients underwent precise hepatectomy and32 patients underwent irregular hepatectomy were retrospectively analyzed,and the intraoperative and postoperative indexes such as operation time,blood loss,postoperative complications,hospitalization time,clearance rate of calculus were analyzed.Results： Compared with the patients in irregular hepatectomy group.although the operative time was longer in precise hepatectomy group（P0.01）,the patients in precise hepatectomy group had less blood loss（P0.01）,less postoperative complications（P0.01）,and higher clearance rate of calculus（P0.01）Thus.the patients in precise hepateclomy group had shorterhospital stay（P0.05）.Conclusions： Precise hepatectomy was the effective measures to increase the therapeutic effect and decrease complications for bile duct stone of right lobe liver.