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| 題 名 | Left Hepatic Lobectomy for Left Intrahepatic Stone=左肝切除術以治療左肝內結石症 |
|---|---|
| 作 者 | 黃宗人; 柯成國; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 12:4 1979.12[民68.12] |
| 頁 次 | 頁305-315 |
| 關鍵詞 | 左肝內結石症; 左肝切除術; |
| 語 文 | 英文(English) |
| 中文摘要 | 本院外科從1973年至1976年之肝內結石症且經手術治療者計60例,而左肝結石者多,有26例占43.4%,而右肝結石者有17例占28.3%,左右兩側結石症者亦為17例為28.3%,為何左側居多,其因尚屬不明。 左肝結石症之外科治療常會感到困難者,乃因手術器械尚無法達成除石目的,因此一般認為只有施在肝切除術才是徹底的手術方法,但也有其適應佐,其條件即是左肝管狹窄及擴張,左葉肝內纖維化,對側之右肝是正常的,或左肝有膿瘍形成時,才施行此術。 我們在此適應症之下施行左肝切除術有有10例占全部60例之15%,男性有4例,女性有6例,年齡是在17~55歲之間,在初發症狀之平均年齡只有24.2歲,10位中有5位是十幾歲卽經常有症狀發生了,可見本症可發生在年輕者。 本文10例中每例標本均加以研究,有明顧左肝管狹窄及管壁增厚之現象,但這些結石之致病原因是屬先天性或後天性則很困難下一定論。 |
| 英文摘要 | There were 60 operative patients of intrahepatic stones in Kaohsiung Medical College Hospital from 1973 to 1976. Most of the stones werp located in the left hepatic duct for unknown reasons. We performed 10 cases of left hepatic lobectomy for left intrahepatic stone under certain indications. These patients were 4 males and 6 females, and their ages ranged from 17 to 55 years (average 26.6 years). It is interesting to note that the mean age of initial onset of symptoms was 24.2 years, and five patients had the symptoms in teenage. Left hepatic lobectomy for left intrahepatic stones seemed to be the most adequate treatment. Most of our patients had good results without operative mortality. From the histologic study, stricture of intrahepatic duct could be easily found in each resected specirnen. Fibrosis, thickening of ductal wall, proliferation of intramural glands, and marked inflammatory reaction were also observed. In considering that these patients were young both at the time of the onset of initial symptoms and at the time of treatment, and that distal bile ducts were thin and lacked inflammatory reaction, stricture of intrahepatic duct in some cases may be considered of congenital origin, and therefore, bile stasis and stone formation were subsequent to the stricture. |
本系統中英文摘要資訊取自各篇刊載內容。