肝切除治疗肝内胆管结石65例临床分析

    Hepatectomy for treatment of hepatolithiasis: analysis of 65 cases

    • 摘要: 目的:探讨肝切除术治疗肝内胆管结石的效果。方法:总结肝切除治疗65例肝内胆管结石资料,分析手术指征、时机、手术方式、并发症及其预防措施。结果:无手术死亡。切口感染2例,切口脂肪液化2例,胆瘘2例,残余结石7例,结石复发2例。结论:肝切除术治疗肝内胆管结石残石率低,复发率低,并发症发生率低,是一种有效的手术方式。

       

      Abstract: Objective: To investigate the effect of hepatectomy in management of hepatolithiasis.Methods: The clinical data of 65 cases of hepatolithiasis having received hepatectomy were analyzed of the operation indication,time selection,surgical approaches,complications and the preventive measures.Results: No one died in the operation.Wound infection occurred in 2 cases,incision fat liquefaction in 2 cases,biliary fistula in 2 cases and stone recurrence in 2 cases.Conclusions: Hepatic lobectomy is an effective procedure for treatment of hepatolithiasis with a low rate of reliquus concrement,recidivism and complication.

       

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