腹腔镜肝规则性切除术治疗肝内胆管结石103例

Laparoscopic anatomical liver resection for 103 patients with hepatolithiasis

目的探讨腹腔镜肝规则性切除术治疗肝内胆管结石的可行性和临床效果。方法回顾分析2007年6月至2013年7月在我院行腹腔镜肝规则性切除术治疗103例肝内胆管结石患者的资料，评价其疗效。结果97例手术获得成功，术中出血50～1000ml，平均手术时间225．5min，平均术后住院时间11．4d。术后出现各种并发症29例。其中术后胆漏18例，腹腔内感染3例，肺部感染4例，切口积液3例，右肝后叶胆管损伤1例，无围手术期死亡病例。结论腹腔镜肝规则性切除术治疗肝内胆管结石是安全可行的，创伤小，取石效果彻底。

Objective To study the feasibility and results of laparoscopic anatomical liver resection for hepatolithiasis. Methods A retrospective study was conducted based on the clinical data of 103 patients who underwent laparoscopic anatomical liver resection from June 2007 to July 2013. Results Total laparoscopic anatomical liver resection was successfully carried out in 97 patients. The mean operation time was 225.5 minutes, the blood loss was 50 - 1 000 ml and the mean postoperative hospital stay was 11.4 days. Postoperative complications included bile leakage （n = 18）, abdominal cavity infection （n = 3 ）, pulmonary infection （ n = d）, wound seroma （ n = 3 ）, right hepatic duct injury （ n = 1 ）. There was no perioperative death. Conclusion Laparoscopic anatomical hver resection for hepatolithiasis is a feasible, practical, and minimally invasive procedure.