限量肝切除加球囊扩张治疗复杂性肝胆管结石并狭窄疗效分析

Chinese Journal of Practical Surgery ›› 2009, Vol. 29 ›› Issue (07) : 571-573.

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PDF(395 KB)
Chinese Journal of Practical Surgery ›› 2009, Vol. 29 ›› Issue (07) : 571-573.
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Abstract

Treatment of complicated intrahepatic stones accompanied with biliary stricture by limited hepatectomy and balloon dilatation TIAN Fu-zhou, LUO Zhu-lin, TANG Li-jun, et al. PLA General Surgery Center,Chengdu General Military Hospital,Chengdu 610083,China. Corresponding author: TIAN Fu-zhou, E-mail:tfz30061@yahoo.com.cn Abstract Objective To summarize the treatment experience of the patients suffered the complicated intrahepatic stones accompanied with biliary stricture in our hospital in the recent 6 years. Methods From 76 patients with complicated intrahepatic stones accompanied with biliary stricture between march, 2002 and march, 2008, 34 patients (male 16 and female 18), of mean age 46 (range 27~65) years, were selected and divided equally into two groups which underwent traditional surgery and progressive balloon dilatation, respectively. The follow-up was carried out after the treatment. Results After the follow-up of mean 2.8 (range 1~7) years, 12 cases were cured, 2 were improved, 1 was aggravated and 2 were dead in the traditional surgery group. In contrast, 10 cases were cured, 7 got improvements, and only 1 had complications. There were no aggravated or dead case in this group. Conclusion the risk of trauma in surgery can be diminished by limited hepatectomy.the treatment of progressive balloon dilatation,as well as hepatectomy and hepatic portal plasty, exhibit good safety and efficiency in the treatment of complicated intrahepatic stones accompanied with biliary stricture.

Key words

complicated intrahepatic stones / biliary stricture / biliary balloon dilatation / limited hepatectomy

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