[1]纪孝峰 游恩龙.腹腔镜左肝外叶切除术治疗左肝外叶胆管结石临床研究[J].福建医药杂志,2020,42(04):17-20.
　JI Xiaofeng,YOU Enlong..Clinical study on laparoscopic anatomical left lateral lobectomy in the treatment of left external hepatolithiasis[J].FUJIAN MEDICAL JOURNAL,2020,42(04):17-20.
点击复制

腹腔镜左肝外叶切除术治疗左肝外叶胆管结石临床研究()
分享到：

《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
42
期数:
2020年04期
页码:
17-20
栏目:
临床研究
出版日期:
2020-08-20

文章信息/Info

Title:
Clinical study on laparoscopic anatomical left lateral lobectomy in the treatment of left external hepatolithiasis
文章编号:
1002-2600(2020)04-0017-04
作者:
纪孝峰 游恩龙
福建医科大学附属三明第一医院肝胆外科(三明 365100)
Author(s):
JI Xiaofeng; YOU Enlong.
Department of Hepatobiliary Surgery,the First Affiliated Hospital of Sanming, Fujian Medical University,Sanming,Fujian 365100,China
关键词:
肝内胆管结石;  肝切除术;  腹腔镜
Keywords:
extrahepatic bile duct calculus;  lobectomy;  laparoscopy
分类号:
R657.4+2
文献标志码:
B
摘要:
目的 探讨腹腔镜左肝外叶规则性切除治疗左肝外叶胆管结石的临床疗效。方法 回顾性分析2004年1月至2019年1月我院收治的60例左肝外叶胆管结石患者临床资料,分为实验组(腹腔镜手术组28例)和对照组(开腹手术组32例)。术前两组患者年龄、性别、病程等临床资料差异无统计学意义(P>0.05); 统计分析两组手术时间、术中出血量、排气时间、术后并发症、住院时间、结石清除率、结石复发率、总体疗效。结果 两组手术时间、术中出血量、结石清除率、结石复发率、总体疗效评估差异无统计学意义(P>0.05),但排气时间、住院时间、术后并发症差异有统计学意义(P<0.05)。结论 腹腔镜规则性左肝外叶切除术治疗左肝外叶结石安全可行且有效,具有微创、恢复快等优点,值得推广。
Abstract:
Objective To investigate the clinical effect of laparoscopic left extrahepatic lobectomy for the treatment of left external hepatolithiasis.Methods The clinical date of 60 patients with left external hepatolithiasis in our hospital from Jan.2004 to Jan.2019 were retrospective analyzed.The samples were divided into experimental group(28 patients for laparoscopic surgery)and control group(32 patients for open surgery).The patients in the two groups had no significant discrepancies in age, gender, course of disease and other clinical conditions(P<0.05).We used statistical analysis to evaluate the effect of treatment for the two group in time of operation, bleeding volume, time of exhaust, postoperative complications, hospital stays, rate of stone-free, rate of recurrence and overall effect.Results There were no significant statistical differences(P>0.05)between the two groups in time of operation, bleeding volume, rate of stone-free, rate of recurrence and overall effect.However, there were statistical differences(P<0.05)between the two groups in time of exhaust and hospital stays,postoperative complications.Conclusion It is safe and effective to use laparoscopic left extrahepatic lobectomy for the treatment of left external hepatolithiasis.The treatment has merits of minimal invasion, quick recovery and it is worthy of promotion.

参考文献/References:

[1] Guan T,Fang C,Mo Z,et al.Long-term outcomes of hepatectomy for bilateral hepatolithiasis with three-dimensional reconstruction:A propensity score matching analysis[J].J Laparoendosc Adv Surg Tech A,2016,26(9):680-688.
[2] 李伟男,李强,徐建,等.腹腔镜肝切除术治疗复发性肝胆管结石[J].中华普通外科杂志,2018, 33(4): 309-313.
[3] 李连举,陈浩, 龚建平.肝胆管结石病的诊治进展[J].中国现代普通外科进展, 2018,21(1): 64-67.
[4] 黄志强,马宵.肝部分切除术治疗肝内胆管结石[J].中华外科杂志,1958,6(11): 1221-1224.
[5] 董家鸿,黄志强.精准肝切除-21 世纪肝脏外科新理念[J].中华外科杂志,2009,47(21):1601-1605.
[6] 中华医学会外科学分会胆道外科学组.肝胆管结石病诊断治疗指南[J].中华消化外科杂志,2007,6(2):156-161.
[7] Li S Q,Liang L J,Peng B G,et al.Outcomes of liver resection for intrahepatic stones:A comparative study of unilateral versus bilateral disease[J].Ann Surg,2012,255(5):946-953.
[8] 卢绮萍.肝胆管结石病外科治疗的历史与现状[J].中华消化外科杂志,2015,14(4): 265-267.
[9] Peng J X, Wang L Z, Diao J F, et al.Major hepatectomy for pri-mary hepatolithiasis: a comparative study of laparoscopic ver-sus open treatment [J]. Sur Endosc, 2018, 32(10):4271-4276.
[10] 何启雄,吴志扬,黄铭祥, 等.肝内外胆管结石多次手术原因及再次手术治疗方法和预后研究 [J]. 实用肝脏病杂志, 2018, 21(5): 781-784.
[11] Li C,Wen T.Surgical management of hepatolithiasis:A minireview[J].Intractable Rare Dis Res,2017,6(2):102-105.

更新日期/Last Update: 2020-08-20