Sasaki M, Endoh M, Yoshihara S, Konn M
2nd Department of Surgery, Hirosaki University School of Medicine.
Nihon Rinsho. 1993 Jul;51(7):1851-4.
The postoperative outcomes in patients with hepatolithiasis are greatly affected by the presence of residual stones. One hundred and seventeen patients with hepatolithiasis treated in our clinic were analysed. The indication of hepatectomy for hepatolithiasis was determined by the degree of stricture of intrahepatic bile duct. The rate of residual stones was reduced from 54.5% to 14.5% by the introduction of choledochoscopical lithotomy. Thus, pre- and postoperative choledochoscopical examination and lithotomy are shown to play an important role in treatment of the patients with hepatolithiasis.
肝内胆管结石患者的术后结局受残余结石的影响很大。对我院收治的117例肝内胆管结石患者进行了分析。肝内胆管结石肝切除术的指征取决于肝内胆管狭窄程度。通过引入胆道镜取石术，残余结石率从54.5%降至14.5%。因此，术前和术后胆道镜检查及取石术在肝内胆管结石患者的治疗中发挥着重要作用。
