摘要
复杂性肝胆管结石的治疗仍是肝胆外科医生面临的一个棘手课题。本文在认识和研究的基础上对复杂性肝胆管结石的概念、诊断、围手术期的处理要点,双侧肝胆管结石、再次手术的肝胆管结石及肝胆管结石合并门静脉高压、脾功能亢进的治疗进行分析。强调对复杂性肝胆管结石的治疗必须作充分的术前准备、详尽的影像学检查,对胆管树影像要有详细的了解,应由肝胆外科专科医生进行手术,这样才能取得良好的效果。
The management of complicated hepatolithiasis still remains a challenge for hepatobiliary surgeons. In this article we focus on the evaluations of the definition, diagnosis and perioperative management of complicated hepatolithiasis. And we also evaluate the management strategies of bilateral intrahepatic stone, reoperation for hepatolithiasis and hepatolithiasis combinedwith portal hypertension and hyperspleenism based on our experience. We conclude that proper preoperative management, detailed imaging evaluations especially biliary tree study are critical important for successful treatment. The operation should be performed by specialist of hepatobiliary surgeons.
出处
《中国实用外科杂志》
CSCD
北大核心
2009年第7期542-544,共3页
Chinese Journal of Practical Surgery
关键词
肝胆管结石
肝切除
hepatolithiasis
hepatectomy
