肝部分切除联合胆道镜治疗肝内胆管结石

目的探讨肝部分切除联合胆道镜治疗肝内胆管结石的疗效。方法回顾性分析近4年肝部分切除联合胆道镜治疗肝胆管结石42例的治疗方法和疗效。结果术后全组无死亡病例，发生切口感染4例（9．6％），胆漏2例（占4．7％），肺部感染3例（占7．1％）。手术后疗效优良者35例，优良率86．8％。结石复发3例（13．2％）。结论肝部分切除联合胆道镜的使用是治疗肝胆管结石的有效手段，可减低术后残石及结石复发率。

Combination of Partial Hepatectomy with Choledochoscopy for the treatment of Hepatolithiasis

To discuss the clinic effects of partial hepatectomy with choledochoscope for the treatment of hepatolithiasis. In recent 4 years, 42 cases with hepatolithiasis received combination of partial hepatectomy and choledochoscopy were retrospectively analyzed. There were no death after operation. Nine patients had complications, including incision infection (4 cases 9.6%), biliary leakage (2 cases 4.7%) and pulmonary infection (3 cases 7.1%). Excellent outcome was founded in 35 patients(86.8%) and 3 patients (13.2%) had recurrence of calculi . Combination of partial hepatectomy with choledochoscope was effective for treatment of hepatolithiasis. It would reduce postoperative residual calculi and recurrence rate of calculi.