Abstract:

Evolution and development of philosophy and paradigm in treatment for hepatolithiasis        DONG Jia-hong，YE Sheng.Hepato-Pancreato-Biliary Center，Tsinghua Changgung Hospital，Tsinghua University，Beijing 102218，China
Corresponding author：DONG Jia-hong，E-mail：dongjiahong
@tsinghua.edu.cn
Abstract    Hepatolithiasis morbidity had decreased，but itexisted regional differences，while cases of early hepatolithasis became more.Complete resection of lesions is the most effective way in the treatment of hepatolithiasis.The currenthepatolithiasis treatment of precision liver resection has been the trend in hepatic segment or subsegment.For end-stage hepatolithiasispatients，the most effective treatment is orthotopic liver transplantation.

Key words: hepatolithiasis, precision hepatectomy, cholangiojejunostomy, liver transplantation

摘要：

肝内胆管结石发病率明显下降，但其下降幅度存在地区性差别，同时更多的早期病例得到了确诊。准确把握其病理学特点和病程演进是根治的基础。精准切除病变胆管树及受累肝脏区段是治愈肝内胆管结石最有效的方法。肝内胆管结石终末期病人，最有效的治疗应是同种异体原位肝移植术。

关键词: 肝胆管结石病, 精准肝切除, 胆管空肠吻合术, 肝脏移植