关键词: 肝胆管结石, 胆道引流, 胆肠吻合

Abstract:

The reasonable option of biliary drainage for hepatolithiasis        ZHOU Jie，ZHANG Qi-fan，SUN Shi-bo，et al. Department of Hepatobiliary Surgery，Nan Fang Hospital，the Southern Medical University，Guangzhou 510515，China
Corresponding author：ZHOU Jie，E-mail：jacky@smu.edu.cn
Abstract    Biliary drainage plays a vital role in surgical management of hepatolithiasis. An improper enteric drainage not only complicate the situation but also create unnecessary problems for subsequent treatment. Hepatolobectomy remains the mainstay of curative treatment for hepatolithiasis. Based on the  clearance of stone，a reasonable mode of biliary drainage should be decided according to the function of Oddi sphincter and the degree of expansion of bile duct. The indication of choledochojejunostomy should be strictly limited. T-tube drainage should be used in all patients with normal function of Oddi sphincter. Choledochojejunostomy is only necessary in those with distal biliary stricture or with the loss of function of Oddi sphincter combined with remarkable expansion of bile duct.

Key words: hepatolithiasis, biliary drainage, choledochojejunostomy