肝胆胰外科杂志2011，Vol.23Issue(6)：459-462,4.
不同术式治疗肝内胆管结石效果比较
Outcones of different operation procedures for hepatolithiasis
杨林华 1鲁佳越 1王坚1
作者信息
- 1. 上海交通大学医学院附属仁济医院,普外科,上海,200127
- 折叠
摘要
Abstract
Objective To evaluate the outcomes of different surgical methods for hepatolithiasis. Methods Clinical data of 139 patients underwent surgical treatment for hepatolithiasis in our hospital from January 1999 to December 2010 were analyzed retrospectivly. Results Twenty-nine cases (20.9%) underwent chdedocholithoto-my with T tube drainage; 24 cases (17.3%) underwent Roux-Y hepaticojejunostomy; 81 (58.3%) underwent hepatectomy; 4 (2.9%) underwent liver transplantation and 1(0.7%) underwent hilar bile duct incision and reconstruction. Thirty-six (25.9%) had residual stones. Fifly-nine in 83 cases (71.1%) were followed up and proved no residual stone left after operation for at least 1 year. Stone recurrence was found in 7 cases (recurrence rate 11.9%). Hepatectomy demonstrated a lower rate of residual stones compared with chdedocholithotomy with T tube drainage, and a lower rate of stone recurrence when compared with chdedocholithotomy with T tube drainage or Roux-Y hepaticojejunostomy (P<0.05). Conclusion The residual rate and recurrence rate of hepatolithiasis after opration are high. Segmental hepatectomy appears to be the most effective treatment for selected patients with hepatolithiasis.关键词
肝内胆管结石/手术方式/残石率/结石复发率Key words
hepatolithiasis/ surgical method/ stone residual rate/ stone recurrence rate分类
医药卫生引用本文复制引用
杨林华,鲁佳越,王坚..不同术式治疗肝内胆管结石效果比较[J].肝胆胰外科杂志,2011,23(6):459-462,4.
