肝切除术治疗肝内胆管结石和狭窄

TREATMENT OF STONES IN INTRAHEPATIC BILE DUCT AND BILE DUCT STENOSIS IN LIVER BY HEPATECTOMY

Stones in intrahepatic bile duct and bile duct stenos is in liver have become a clinical problem in surgery. The series of pathological changes of liver cells and bile duct in liver are not reversed.So we consider it is important to resect the diseased liver lobes,especially stones in bile duct and bile duct stenosis located at lobes of liver ,left. In our 3.2 patients ,after resecting the liver lobes or segment ,openning the long way of residual bile duct through the planes of parenchymal transection,we removed all of the obstruction or stenosis and stones,choledoenterostomy was made with a wide anastomosis by Roux-en-Y. A long time followup after operation,out of 29 cas-es (92. 6%) examined by cholangiography,B typed ultrosound or clinical study,only 3 cases died by liver failure. According to the criterion of Xia Liangfang made in 1988,the result showed:26 cases (89. 66%) were excellent,2 cases (6. 89%) were good,only one case (3. 45%) was bad. 96. 55% of all patients showed good or very good.