摘要
肝内胆管结石是常见的难治性胆道疾病,病变复杂,复发率高。临床上应遵循"取净结石、解除梗阻、通畅引流、预防复发"的治疗原则,根据患者的病变范围、程度,个体化地选择规则性肝切除、经肝实质胆管切开取石、肝门部胆管切开成型、胆肠吻合等方式进行处理。对于存在残留结石的患者应积极采用胆道镜取石,必要时可实施再手术治疗。
Hepatolithiasis as a common and refractory disease with various clinical feaures has a high risk of recurrence.The therapeutic principles for this diesease include complete scavenge of calculus,relief of biliary obstruction,unobstructed drainage and prevention of relapse.Based on the extent and degree of the disease,surgical treatment should be performed individually,including partial hepatectomy,scavenge of calculus under dessission of the bile duct in liver parenchyma,reconstruction of the bile duct in the porta hepatis,and choledochojejunostomy.Residual stones could be treated by a flexible choledochoscope,but some cases might need reoperation.
出处
《中华普外科手术学杂志（电子版）》
2012年第4期4-6,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
卫生部公益性行业科研专项基金(项目编号201002015)
关键词
胆结石
肝切除术
胆道外科手术
再手术
Cholelithiasis
Hepatectomy
Biliary tract surgical procedures
Reoporation
