肝左外叶切除术联合胆道镜胆总管探查取石术治疗左肝内胆管结石的临床效果

目的 探讨肝左外叶切除术联合胆道镜胆总管探查取石术治疗左肝内胆管结石的临床效果.方法 选取我院收治的60例左肝内胆管结石患者进行回顾性分析,按照治疗方案将其分为观察组(30例,肝左外叶切除术联合胆道镜胆总管探查取石术)和对照组(30例,胆道镜胆总管探查取石术).比较两组的手术情况、术后并发症发生情况、结石取净率、症状评...

Clinical effect of left lateral hepatectomy combined with choledochoscopic common bile duct exploration and lithotomy in the treatment of left intrahepatic bile duct stones

Objective To investigate the clinical effect of left lateral hepatectomy combined with choledochoscopic common bile duct exploration and lithotomy in the treatment of left intrahepatic bile duct stones.Methods A retrospective analysis of 60 patients with left intrahepatic bile duct stones admitted in our hospital were selected and divided into observation group(30 cases,left lateral hepatectomy combined with choledochoscopic common bile duct exploration and lithotomy)and control group(30 cases,choledochoscopic common bile duct exploration and lithotomy)according to the treatment plan.The operation status,occurrence of postoperative complications,stone removal rate,symptom score,quality of life score and recurrence rate were compared between the two groups.Results The operation time in the observation group was longer than that in the control group,and the intraoperative blood loss volume was more than that in the control group(P<0.05).The stone removal rate in the observation group was higher than that in the control group(P<0.05).After operation,the scores of abdominal pain,fever,and jaundice in the observation group were lower than those in the control group,and quality of life scores were higher than those in the control group(P<0.05).The recurrence rate in the observation group at 1 and 2 years after operation was lower than that in the control group(P<0.05).Conclusion Left lateral hepatectomy combined with choledochoscopic common bile duct exploration and lithotomy in the treatment of left intrahepatic bile duct stones can increase the stone removal rate and benefit the prognosis of patients.