肝叶切除治疗肝内胆管结石

肝叶切除是治疗肝内胆管结石的最有效手段。本文概述了肝叶切除治疗肝内胆管结石的临床病理基础和改变、手术适应症、手术方式的选择、肝切除的技术要领、治疗效果和手术并发症;总结了肝叶切除术较之其他治疗肝内胆管结石的方法的优势在于减少了的肝组织增生-萎缩和肝内胆管癌等病变的发生率,具有肝门部胆管狭窄完全解除率高、结石清除率高和复发率低等优点。术后死亡率与其他手法方式无明显不同。

Hepatolobectomy Treatment for Hepatolithiasis

Hepatolobectomy is the most effective method for hepatolithiasis treatment. This paper reviewed the clinic pathological fundamental and its changes, surgical adaptation, options of surgical method, technical essentials of the hepatolobectomy, outcome of treatment and complications. Hepatolobectomy reduced the pathological changes such as hypertrophy-atrophy of hepatic tissue and intrahepatic choledochus carcinoma as compared to other hepatolithiasis surgical treatment, and has the advantage of relieving the hepatic portal duct narrow totally higher ratio of relieving stone, and lower recurrence rate. The postoperative mortality rate has no difference from other methods.