关键词: 肝胆管结石, 肝切除术, 结石清除率, 结石复发率。

Abstract:

The values and status of hepatectomy in the treatment of hepatolithiasis        YIN Xiao-yu. Department of Pancreato-biliary Surgery，the First Affiliated Hospital of Sun Yat-Sen University，Guangzhou 510080，China
Abstract    Hepatolithiasis is referred to the intra-hepatic bile duct stones which occurs proximal to the confluence of right and left hepatic ducts. It can involve in one or more segments or lobe of the liver，and even the whole liver，and is commonly associated with biliary stricture，confluence anomalies and even biliary dilatation. It is one kind of difficultly-treated benign disease，especially for the complicated hepatolithiasis. Provided choledochotomy with extraction of stones has been used in the treatment of hepatolithiasis，its alone frequently fails to completely remove all stones，and is associated with high incidence of stone recurrence. Anatomical hepatectomy is helpful to remove all stones completely，simultaneously remove the diseased bile ducts and the hepatic parenchyma，and has the advantages of low incidences of residual stones and stones recurrence. Hence，hepatectomy represents as a curative approach and should be actively adopted for the indicated patients with hepatolithiasis.

Key words: hepatolithiasis, hepatectomy, incidence of stone clearance, incidence of stone recurrence