肝切除治疗右肝内胆管结石52例

【目的】探讨肝切除治疗右肝内胆管结石的临床疗效及手术要领。【方法】对2002年10月至2005年9月52例因右肝内胆管结石行肝切除手术的临床资料进行回顾性分析。【结果】全组无手术死亡病例。随访6～35个月，术后效果优良率为81．8％，并发症发生率19％，经胆道造影残石率为9％。【结论】肝切术治疗右肝内胆管结石能取得比较好的临床效果，远期疗效明显。肝的充分显露、肝门阻断带的合理使用、肝切断平面的划定、残肝的正确处理是肝内胆管结石行肝切除手术的关键。

Hepatectomy in the Treatment of 52 Cases of Right Hepatolithiasis

Objective]To discuss the clinical effect and the surgical technique of hepatectomy in the treatment of right hepatolithiasis. Methods]The clinical data of 52 cases of hepatectomy because of right hepatolithiasis in Hunan Traffic Hospital from October 2002 to September 2005 were analyzed retrospectively. Results]There was,no case of death, A follow-up of 6 months to 35months showed the rate of fine postoperative result was 81.8%, the rate of postoperative complication was 19%, the rate of residual calculi was 9% according to postoperative cholangiography. Conclusion]Hepatectomy is effective in the treatment of right hepatolithiasis, and its Long-term curative effects are remarkable. When treating right hepatolithiasis, the key techniques include satisfactory exposure, reasonable use of tourniquet, the correct delinitation of resection plane and management of residual liver.