术后复发性及残余肝胆管结石的再手术治疗

目的探讨复发及残余肝胆管结石的治疗效果。方法对98例术后复发性及残余肝胆管结石再手术的部位、病理情况、手术方式、治疗效果及随访结果等资料进行回顾性分析。结果根据结石分布部位及胆管狭窄程度采取肝叶切除56例(57.1%),肝段切除12例(11.9%),胆肠吻合18例(18.3%),Ⅰ~Ⅲ级肝管切开引流加胆管探查10例(10.2%)。结论对于复发性及残余肝胆管结石患者,根据结石部位、狭窄程度等采取肝叶、肝段切除或胆肠吻合等相应的再手术方法可获得满意的临床治疗效果。

Reoperation on recurrent and residual hepatic calculus after surgery

Objective To discuss the treatment for recurrent and residual hepatic calculus.Methods The retrospective analysis of the 98 cases of recurrent and residual hepatic calculus was made on operative sites,pathological condition,modus operandi a well as therapeutic and followup results,etc.Results According to the parts of the stone distribution and the width of the gall tracts,there were 56 cases of liver lobectomy(57.1%),12 cases of resection of hepatic segments(11.9%),18 cases of cholecysto-intestinal anastomosis(18.3%),and 10 cases of incision and drainage of hepatic duct plus bile duct exploration(10.2%).Conclusion The satisfactory results can be achieved for those who suffered from recurrent and residual hepatic calculus by taking the corresponding operative methods(liver lobectomy,resection of hepatic segments or cholecysto-intestinal anastomosis) according to the stone position and width of gall tracts.