肝内胆管结石治疗演变和发展

肝内胆管结石发病率明显下降,但其下降幅度存在地区性差别,同时早期肝内结石病例的诊断更多了。切除病灶是彻底治疗肝内胆管结石最有效的方法,目前肝内胆管结石肝切除治疗已趋向于肝段化和亚肝段化。“肝门上径路”肝切除术特别适用于右侧的和合并门静脉海绵样化的肝内胆管结石外科治疗。肝内胆管结石终末期病人,最有效的治疗应是肝切除同种异体原位肝移植术。

Evolution and development of hepatolithiasis treatment

Evolution and development of hepatolithiasis treatment HUANG Zhi-qiang. The PLA Hepatobiliary Surgery Institute, Chinese PLA General Hospital , Beijing 100853,China Abstract Hepatolithiasis morbidity had decreased , but it existed regional differences, while cases of early hepatolithasis became more. Complete resection of lesions is the most effective way in the treatment of hepatolithiasis. The current hepatolithiasis treatment of liver resection has been the trend in hepatic segment or subsegment. "Hepatic portal superior approach" hepatectomy is particularly applicable in right hepatolithiasis and associated with portal vein cavernous. End-stage hepatolithiasis patients, the most effective treatment is homogeneity variant orthotopic liver transplantation.