Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Am J Surg. 2011 Oct;202(4):e38-40. doi: 10.1016/j.amjsurg.2010.07.043. Epub 2011 Aug 6.
Choledocholithiasis is a very common surgical disease worldwide. Reports of a single calculus of the common bile duct >10 cm are very rare. The authors present a case of a single gigantic calculus in the common bile duct with multiple stones distributing in the left intrahepatic ducts. The patient was treated with left hemihepatectomy combined with Roux-en-Y hepaticojejunostomy, and the postoperative course was uneventful. Left hemihepatectomy combined with Roux-en-Y hepaticojejunostomy was the optimal treatment for this patient, with a satisfactory outcome.
胆总管结石在全世界范围内是一种非常常见的外科疾病。单一胆总管结石>10cm 的报告非常罕见。作者报告了一例单一巨大的胆总管结石，伴有多个结石分布在左肝内胆管。该患者接受了左半肝切除术联合 Roux-en-Y 肝肠吻合术治疗，术后过程顺利。左半肝切除术联合 Roux-en-Y 肝肠吻合术是该患者的最佳治疗方法，效果满意。
