目的：探讨肝切除术联合术中胆道镜治疗肝内胆管结石的临床疗效。方法回顾性分析该院肝胆外科2005～2014年行肝切除术联合术中胆道镜治疗肝内胆管结石17例患者的临床资料，根据肝内胆管结石的分布，其中左外叶6例，左半肝5例，右肝第Ⅵ段3例，第Ⅶ段1例，第Ⅷ段1例，左外叶合并右后叶下段1例。17例患者均采用传统肝叶或肝段切除术（单钳法联合第一肝门阻断技术），其中左外叶切除6例，左半肝切除5例，右肝第Ⅵ段切除3例，第Ⅶ段切除1例，第Ⅷ段切除1例，左外叶联合右后叶下段切除1例，同时行胆总管切开取石、T管引流附加手术10例，所有患者术中均常规行胆道镜检查。结果17例患者均治愈，无严重并发症，无远期结石复发。结论肝切除术联合术中胆道镜是治疗肝内胆管结石积极、有效、彻底的方法。%Objective To investigate the clinical efficacy of liver resection combined intraoperative choledochoscope for intra‐hepatic biliary calculi .Methods A retrospective analysis of clinical data in seventeen patients with intrahepatic biliary calculi ,who have been received liver resection combined intraoperative choledochoscope in the department of hepatobiliary surgery during 2005 to 2014 was conducted .According to the distribution of intrahepatic bile duct stones ,six cases located in left liver lobe ,five cases lo‐cated in left half liver ,three cases located in liver section Ⅵ ,one case located in liver section Ⅶ ,one case located in liver section Ⅷ , one case located in left liver lobe associated with right posterior lobe lower segment .Seventeen cases were treated with hepatolobec‐tomy or segmental liver resection (single clamp method combined first hilar occlusion) ,among which six cases received hepatic left lateral lobectomy ,five cases received left hemihepatectomy ,three cases received partial hepatic resection in paragraph Ⅶ ,one case received partial hepatic resection in paragraph Ⅶ and one in Ⅷ ,one case received the left lateral lobe combined right posterior lower segmental resection ,ten cases at the same time received choledocholithotomy and T tube drainage .Results All patients were cured without serious complications ,no long term stone recurrence .Conclusion Liver resection combined intraoperative choledochoscope is positive and effective treatment for intrahepatic biliary calculi patients .
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