肝胆管结石

Results: According to position of stones and intrahepatic bile duct stricture, 26 cases were treated by hepatectomy or combined hepatobiliary basin drainage.

结果 26例患者根据结石部位及胆管狭窄情况的不同，采用了不同的肝段切除或联合肝胆管盆式内引流术式。

Firstly,all patients have been excided the upper ductus choledochus,the liver gross duct,left right liver duct besides one centimeter of liver duct that lies upwards the hepatolith.Secondly, we have sutured the excided bile duct, which has been shaped acetabuliform,lifted one part of jejunums,intered non-port one subcuneously,and then inosculated gall with enteron by Roux-en-Y way.Lastly,we have partly excised the ill liver in regular way.Results 26 ones have been follow-up for 1～10 years.The rate is 81 percents,average for 6 years.

32例肝内胆管结石均接受皮下盲袢型胆肠吻合术，其中结石位于右肝7例（22%），左肝9例（28%），两肝均有16例（50%）；结石合并肝胆管狭窄24例（75%），全部病例均切开胆总管上部、肝总管、左右肝管，并切开肝内胆管狭窄部以上1cm肝管，将切开的胆管做必要的缝合，形成碟状，取一段空肠上提，盲袢埋置皮下，再做胆肠Roux-en-Y吻合，病肝做规则性肝部分切除术。

Objective To evaluate the role of choledochoscopy in selecting operation procedure for hepatolithiasis.

摘 要：目的探讨胆道镜技术在肝胆管结石术式选择中的作用与地位。

Objective To analyze the diagnosis and treatment of hepatolithiasis associated with hepatocholangiocarcinoma.

目的 探讨肝内胆管结石并发肝胆管癌的诊断和治疗。

Methods Experience in choledochoscopy applied in 618 cases of hepatolithiasis was summerised.

总结肝胆管结石618例应用胆道镜技术的经验。

Methods: 83 cases of hepatolithiasis associated with biliary cirrhosis wereanalyzed retrospectively.

回顾性分析83 例肝胆管结石合并胆汁性肝硬化病例的诊断和治疗情况。

Methods The clinical data of 130 patients with hepatolithiasis admitted in our hospital from Jan 1996 to Dec 2005 were analyzed retrospectively.

回顾性分析从1996年1月～2005年12月130例肝胆管结石病外科治疗的术式选择和治疗效果。

Methods Literatures about the advances in minimally invasive surgery treatment for hepatolithiasis were collected and reviewed.

对国内、外有关肝胆管结石的微创外科治疗方面的文献进行综述。

Methods We analyzed 106 patients with hepatolithiasis intraoperatively and postoperatively used the choledochoscope to check and removed stones.

回顾性分析106例肝胆管结石病人术中、术后利用纤维胆道镜检查、取石治疗的临床资料。

Objective To analyze the surgical complications of multiple hepatectomy for complex hepatolithiasis.

目的 分析多处肝切除治疗复杂肝胆管结石病的手术并发症以及防治对策。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。