| 解剖式肝段切除治疗左肝胆管结石——保肝手术的探讨 |
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| 引用本文： | 陈燕凌,朱金海,韩圣华,陈辉星,叶敬旻,杜强. 解剖式肝段切除治疗左肝胆管结石——保肝手术的探讨[J]. 中国现代普通外科进展, 2009, 12(2) |
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| 作者姓名： | 陈燕凌 朱金海 韩圣华 陈辉星 叶敬旻 杜强 |
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| 作者单位： | 福建医科大学附属协和医院肝胆胰外科,福州,350001 |
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| 基金项目： | 福建医科大学教授基金 |
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| 摘 要： | 目的:总结解剖式肝段切除治疗左肝胆管结石的效果.方法:采用解剖式肝段切除治疗左肝胆管结石38例.其中左肝内外叶胆管均有结石12例,单纯左肝外叶胆管结石26例,合并胆囊结石19例,胆总管结石30例.同时伴有左肝管口狭窄10例;伴肝门部胆管狭窄3例.结果: S2切除26例,S3切除12例,另附加S4a切除5例,S4a+b切除3例.合并行带蒂自体组织瓣肝门部胆管及左肝管狭窄部成形13例;加行胆总管空肠Roux-en-Y吻合术2例;术中使用纤维胆道镜探查取石者29例,术中经纤维胆道镜通路高能震波碎石者16例.术后并发症发生率为13.1%;无手术死亡.疗效总优良率97.36%.结论:解剖式肝段切除术能够有效清除结石,并发症少,可防止术后胆石复发及肝脏旋转变形.
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| 关 键 词： | 胆结石·肝切除术 |
Anatomical segmental hepatectomy procedure for left intrahepatolithiasis |
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| CHEN Yan-ling,ZHU Jin-hai,HAN Sheng-hua,CHEN Hui-xing,YE Jing-min,DU Qiang. Anatomical segmental hepatectomy procedure for left intrahepatolithiasis[J]. Chinese Journal of Current Advances in General Surgery, 2009, 12(2) |
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| Authors: | CHEN Yan-ling ZHU Jin-hai HAN Sheng-hua CHEN Hui-xing YE Jing-min DU Qiang |
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| Affiliation: | Fuzhou 350001;China |
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| Abstract: | Objective:To investigate the therapeutic effects of anatomical segmental hepatectomy for patients with hepatolithiasis. Methods: From January 2005 to June 2008,anatomical liver resection procedure were completed in 38 patients with left intrahepatolithiasis and the therapeutic efficacy were evaluated.Results: Thirt-eight patients with left intrahepatolithiasis were included in this study, 12(31.5%)with left lateral intrahepatolithiasis, 26(68.4%)with left intrahep-atolithiasis, 19(50%)with cholecystolithias... |
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