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总胆管切除术

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Results Preoperative diagnostic rate was53.6%,and operative resection rate was71.4%,simple cholecystectomy in6cases,cholecystectomy and exploration of the biliary passage in4cases,gallbladder and regional lymphadonectomy in2cases,gallbladder and liver wedge resection and regional lymphadonectomy in6cases,gallblad-der and liver wedge resection and regional lymphadonectomy and right hemicolectomy in1case,and gallbladder and liver wedge resection and regional lymphadonectomy and subtotal gastrectomy and right hemicolectomy in1case.Unre-sectable rate were28.6%,gastro-jejunostomy in2cases,cholecystostomy in1case.Laparotomy exploration only in5cases.

结果 术前确诊率仅为53.6%(15/28),手术切除率为71.4%(20/28),单纯胆囊切除术6例(占21.4%),胆囊切除+总胆管探查4例(占14.3%),胆囊切除+区域淋巴结清扫2例(占7.1%),胆囊+肝楔状切除+区域淋巴结清扫6例(占21.4%),胆囊+肝楔状切除+区域淋巴结清扫+右半结肠切除1例(占3.6%),胆囊+肝楔状切除+区域淋巴结清扫+胃大部切除+右半结肠切除1例(占3.6%),未切除率为28.6%,胃-空肠吻合术2例(占7.1%),胆囊造瘘1例(占3.6%),仅做剖腹探查术5例(占17.9%)。

Results 114 cases were follow-up surveyed from 6 months to 10 years, After operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with T-tube drainage ,78.38%、32.43% in cholangiojejunostomy with T-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy. The total superior rate was 79.82% and total residual stone rate was 31.58%.

结果 114例得到随访,随访6 月~10年,术后优良率及残石率分别:肝胆管切开取石T管引流术67.57%、54.05%,肝胆管切开取石+胆肠吻合术78.38%、32.43%,肝部分切除术96.15%、7.69%,肝门部胆管成形+胆肠吻合术85.71%、14.29%,总优良率79.82%、残石率31.58%。

The indications for the initial CT were the staging of small-bowel tumor and colon cancer, nonspecific abdominal discomfort, lier abscess, confirmation of the residual stone after open cholecystectomy and choledocholithotomy, and common bile duct stone and lier abscess.

所有病人均发现胰腺有异常,初始CT检查有小肠肿瘤和结肠癌、非特异性腹部不适、肝脓肿、胆囊切除术和胆总管石切除术后的残余结石、总胆管结石伴肝脓肿。

Results 114 cases were follow-up surveyed from 6 months to 10 years, After operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with T-tube drainage ,78.38%、32.43% in cholangiojejunostomy with T-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy. The total superior rate was 79.82% and total residual stone rate was 31.58%.

结果 114例得到随访,随访6个月~10年,术后优良率及残石率分别为:肝胆管切开取石T管引流术67.57%、54.05%,肝胆管切开取石+胆肠吻合术78.38%、32.43%,肝部分切除术96.15%、7.69%,肝门部胆管成形+胆肠吻合术85.71%、14.29%,总优良率79.82%、残石率31.58%。

Results 114 cases were follow-up surveyed from 6 months to 10 years, after operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with t-tube drainage ,78.38%、32.43% in cholangiojejunostomy with t-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy.

结果 114例得到随访,随访6个月~10年,术后优良率及残石率分别为:肝胆管切开取石t管引流术67.57%、54.05%,肝胆管切开取石+胆肠吻合术78.38%、32.43%,肝部分切除术96.15%、7.69%,肝门部胆管成形+胆肠吻合术85.71%、14.29%,总优良率79.82%、残石率31.58%。

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