HEPATIC LOBECTOMY AND SEGMENTAL RESECTION OF LIVER FOR INTRAHEPATIC BILE DUCT STONE_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

He Zhenping , Li Zhihua , Ma Kuansheng.

Centre of Hepatobiliary Surgery, Southwestern Hospital, Third Military Medical College, Chongqing 630038;

Corresponding author：

Keywords：

Intrahepatic bile duct stone; Lobectomy and segmentectomy; Clinical-pathologic

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Four hundred and eighty two paients suffering from intrahepatic bile duct stone undergoing lobectomy and segmental resection (from 1975 to 1994,9) has reported. 63% of the patient in this group underwent 1-5 operations, including different types of biliary-intestinal anastomosis (21.6%). 482 cases underwent different types of hepatectomy, including left lateral-lobetomy 321 cases (66.6%),left hemihepatectomy 80 cases(16.6%), right hemihepatectomy 19 cases (3.9%), and multiple segmental resections 39 cases (8.1%, including Ⅴ+Ⅷ 11 cases, Ⅵ+Ⅶ 28 cases). Other type hepatectomy combined with guadrate lobectomy 20 cases (4.1%). Postoperative complication rate was 10.2%, including diliary fistula. hemobilia and subdiaphragmatic and resectional surface infectioin, 85% of the patients were followed up with an excellent result of 88%. The authors emphsize that hepatic lobectomy nad segmental resection is the core of treatment and selection of operative methods depends on clinical-patholigic types of the disease.

Citation： He Zhenping,Li Zhihua,Ma Kuansheng.. HEPATIC LOBECTOMY AND SEGMENTAL RESECTION OF LIVER FOR INTRAHEPATIC BILE DUCT STONE. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1995, 2(4): 206-208. doi: Copy

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1. 何振平，刘永雄，黄志强.有胆管结石的临床病理类型. 解放军医学杂志，1986；5：342.
2. 黄志强.肝胆管结石及狭窄手术治疗的进展，实用外科，1991；11(4)：170.
3. 岡田周市，木村邦夫，税所宏光，他.肝内胆石症の自然经过一肝内型なろびに肝内优位位型汇おけ为检讨。胆上膵，1989；10(7)：1369.
4. 羽生富士夫，中村光司，吉川边也他.肝内结石に对する肝切除の长期预后.胆上膵，1989；10(8)：1227.
5. 大桥直树，伊佐地秀司，小板笃，他.后区域枝胆管ガ左主肝管汇合流する肝内结石の检讨。胆上膵，1988；9(3)：365.
6. Akiyama T, Nagakawa T, Kayanara M, et al. Recurrence of intrahepatic stones after an end-to-side choledochojejunostomy, Jpn J Surg, 1994;24(7):599.
7. 川原田嘉文，三田孝行.肝内结石症上肝内胆管癌.胆上膵，1994；15(5)：435.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

HEPATIC LOBECTOMY AND SEGMENTAL RESECTION OF LIVER FOR INTRAHEPATIC BILE DUCT STONE

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