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題 名 | Hepatic Ductoplasty for Treatment of Intrahepatic Stones:New Surgical Technique and Case Report=肝內肝管形成術以治療肝內結石症: 新手術法及病例報告 |
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作 者 | 柯成國; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 16:2 1983.06[民72.06] |
頁 次 | 頁194-200 |
分類號 | 416.246 |
關鍵詞 | 手術; 肝管形成術; 肝內結石症; |
語 文 | 英文(English) |
中文摘要 | 肝內胆管形成術另一種新的嘗試手術法用來治療肝內結石症尤其左右肝管分枝部有狹窄者,肝內胆管形成術包括切除左肝管狹窄部而經此切開處而可將摘石器械直入主肝內胆管摘取胆石後,再將左肝管與總肝管吻合手術,這種手術之利點乃輕易地直接取石而且又可切除狹窄之病巢處而保留肝左葉,所以此種手術後可以不再担心因胆管狹窄,引起胆汁滯流而再發胆石。 本手術式之適應條件(1)左(或右)肝管明顯狹窄且近總肝管1公分以内者,(2)青壯年紀病人,(3)有胆右之左(或右)肝葉沒有纖維化可且不須左(或右)肝葉切除者。此情形下可以嘗試這種手術法,簡單且直接摘石而且保留肝葉。 本文報告一例28歲男性左葉肝內結石症之病人其肝左葉甚為正常且狹窄明顯甚近總肝管處,所以施本手術後追踪18個月情況甚佳。在本省甚為嚴重的肝內結石症,可以考慮在某些病人施行此術。 |
英文摘要 | A new surgical technique, namely hepatic ductoplasty, was presented for the treatment of left primary intrahepatic stones. The procedures included eradicating the stones through left hepatic duct, resecting the strictural portion of left hepatic duct and reanastomosis of left hepatic duct with common hepatic duct. The surgical procedures have the advantages of directly removing the calculi with easy and resecting the main strictural lesion of intrahepatic duct without hepatic lobeciomy. This patient will not necessary to worry about the recurrent stones caused by bile stasis because the strictural portion of intrahepatic duct had been resected by this new method. The indications of hepatic ductoplasty are i) left (or right) intrahepatic duct with obvious stenosis and the distance of the lesion and common hepatic duct within 10 mm, ii) in young aldolecence, iii) the parenchyma of left (or right) lobe with stones is quite normal, not candidate for lobectomy or segmentectomy. A case of left primary intrahepatic stones was treated with this method instead of traditional surgical techniques. |
本系統中英文摘要資訊取自各篇刊載內容。