Andersson R, Tranberg K G, Bengmark S
Department of Surgery, Lund University, Sweden.
HPB Surg. 1990 Apr;2(2):145-7. doi: 10.1155/1990/59151.
Intrahepatic stones are difficult to manage, especially when they are associated with bile duct stricture, cholangitis and destruction of liver parenchyma. Suggested modes of treatment include surgical bile duct exploration, endoscopic procedures, transhepatic cholangiolithotomy and liver resection. This paper reports 2 patients in whom liver resection was performed because of intrahepatic ductal stones, bile duct strictures and repeated episodes of cholangitis. Liver resection was uncomplicated and long-term results were satisfactory. Our results support the view that liver resection is indicated in rare instances of intrahepatic bile duct stones associated with bile duct strictures.
肝内结石难以处理，尤其是当它们与胆管狭窄、胆管炎及肝实质破坏相关时。建议的治疗方式包括手术胆管探查、内镜手术、经肝胆管切开取石术及肝切除术。本文报告了2例因肝内胆管结石、胆管狭窄及反复胆管炎发作而接受肝切除术的患者。肝切除术过程顺利，长期效果令人满意。我们的结果支持以下观点：在罕见的伴有胆管狭窄的肝内胆管结石病例中，肝切除术是适用的。
