肝胆胰外科杂志2011，Vol.23Issue(1)：24-25,28,3.
肝切除联合纤维胆道镜治疗肝硬化合并肝胆管结石
Hepatectomy combined with intraoperattve choledochofiberscope for the treatment of intrahepatic bile ducts stone with liver cirrhosis
王峰 1宗光全 1刘绪舜 1徐琳1
作者信息
- 1. 解放军第八一医院,全军肝病中心普外科,江苏,南京,210002
- 折叠
摘要
Abstract
Objective To evaluate the applied value of hepatectomy combined with intraoperative choledochofiberscope for the treatment of intrahepatic bile ducts stone with liver cirrhosis.Methods Clinical data of 36 patients with intrahepatic bile ducts stone with liver cirrhosis undergone hepatectomy combined with intraoperative choledochofiberscope in our hospital from Jan 2001 to Dec 2009 were analysed retrospectively. Results There was 1 perioperative deaths in this series because of liver failure resulted from severe infections.The important postoperative complications occurred in 9 cases, including transient biliary fistula in 4 patients,subdiaphragmatic infections in 3 patients and hemobilia in 2 patients.Remaining bile ducts stone were found in 3 patients. 32 cases were followed-up for 7 months to 9 years(average time 4 years).Stone recurred in 4 cases and 4 cases died.Among them 2 cases died of live failure, 1 case died of massive bleeding from upper alimentary tract,1 case died of cholangiocellular carcinoma.Conclusion Hepatectomy combined with intraoperative choledochofiberscope for the treatment of intrahepatic bile ducts stone with liver cirrhosis can decrease the morbidity and operative mortality by reducing of the volume of hepatectomy and decrease the operation injury.Intensifying perioperative management is important to improve the prognosis.关键词
肝硬化/肝胆管结石/肝切除术/纤维胆镜Key words
liver cirrhosis/intrahepatic bile duct stone/hepatectomy/choledochofibersope分类
医药卫生引用本文复制引用
王峰,宗光全,刘绪舜,徐琳..肝切除联合纤维胆道镜治疗肝硬化合并肝胆管结石[J].肝胆胰外科杂志,2011,23(1):24-25,28,3.
