再次肝胆管结石外科治疗中的几个问题

目的]探讨肝胆管结石的外科治疗策略.方法]回顾性分析197例肝胆管结石再手术治疗病例,分析再手术原因、观察本次手术效果和并发症发生情况.结果]全组无手术死亡病例,术后并发症发生率23%,残石率6.6%.结论]肝胆管结石的外科处理应该采取以"20字原则"为基础的综合个体化治疗方案,结合解剖法肝切除和肝胆管盆式内引...

Several Issues During the Reoperation of Hepatolithiasis

Objective] To explore the surgical strategy of hepatolithiasis. Methods]Clinical data of 197 cases of hepatolithiasis undergoing reoperation were analyzed retrospectively. The causes, operation effect and complications of hepatolithiasis reoperation were observed. Results]No operative death occurred in all patients. The incidence rate of postoperative complications was 23% and the retained stone rate was 6. 6%. Conclusion] Comprehensive individualized treatment plan based on ＂20 words principle＂ should be taken as the surgical therapy of hepatolithiasis. Combined with the anatomical liver resection, hepatobiliary basin drainage and other methods in special circumstances should be taken to treat the disease.