肝切除术治疗区域性肝胆管结石

目的 探讨肝切除术治疗区域性肝胆管结石的效果。方法 分析12年来采用肝切除术治疗儿2例区域性肝胆管结石患者的临床表现、结石的部位和分布情况、手术方式、手术后并发症及结石残留等情况。结果 肝内结石以左肝较多(108例),肝切除仍以左外叶及左半肝切除为主。10．8％的病例有结石残留；13例出现手术后并发症；无手术死亡。治疗效果优良者占93％。结论 肝切除手术是治疗区域性肝胆管结石的主要方法，为减少结石的残留和复发，应根据结石情况同时行肝内狭窄胆管切开整形、胆管空肠吻合治疗。

HEPATECTOMY FOR REGIONAL HEPATILITHIASIS

Objective To evaluate the effect of hepatectomy for regional hepatolithiasis.Methods 112 patients with regional hepatolothiasis underwent hepatectomy in the past 12 years.The results were analysed retrospectively,including clinical findings,distribution of stones,patterns of operation,postoperative complications,and residual stones.Result Left hepatolothiasis was the most common form (108 patients).Left lateral lobectomy and left hepatectomy were most commonly employed(96.4%).12 of the patients underwent concurrent cholangiojeunostomy.10.8% patients had residual stones,and postoperative complications occurred in 13 patients.No death occurred in this series.94% the patients showed excellent or good result.Conclusion Hepatectomy is a procedure for the management of regional hepatolothiasis,but still requires combined plasty of stenotic intrahepatic bile ducts and cholangiojejunostomy to reduce the incidence of residual stones and recurrence.