Therapeutic effects of hepatectomy plus Roux-en-Y choledochojejunostomy in combination with reflux prevention on intrahepatic bile duct stone
10.3760/cma.j.issn.1007-8118.2010.01.010
- VernacularTitle:肝段(叶)切除胆肠Roux-en-Y吻合加联合抗反流装置治疗肝内胆管结石的治疗效果研究
- Author:
Xiaobo JIN
;
Lianbang ZHOU
;
Wenbo WANG
;
Xiaojun WANG
;
Yuetao YANG
;
Zhun ZHONG
- Publication Type:Journal Article
- Keywords:
Hepatectomy;
Reflux prevention;
Intrahepatic duct stone;
Choledochojejunostomy
- From:
Chinese Journal of Hepatobiliary Surgery
2010;16(1):26-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the therapeutic effects of hepatic resection plus Roux-en-Y choledochojejunostomy in combination with reflux prevention on intrahepatie bile duct stone. Methods The clinical data of 230 patients with intrahepaticbile duet stone surgically treated in our hospital in the past 18 years were retrospectively analyzed. Of the 230 patiets, 110 underwent hepatectomy plus Roux-en-Y choledochojejunostgmy in combination with reflux prevention and the others received other surgeries. The complications of pleural effusions, infection of incisional wound, leakage of bile and retained calculus after operation were studied. Meanwhile, the recurrent rate of stone and long-term effects were determined. Results The occurrinjg rate of pleural effusion, infection of incision wound,leakage of bile was not significantly different among different groups. However, the retained calculus and recurrent rate of stone in the group of patients underwent hepateetomy plus Roux-en-Y choledochojejunostomy in combination with reflux prevention were significantly decreased as compared with other group (P<0.05). So was the effect in long-term (P<0.05). Conclusion Hepatectomy plus Roux-en-Y choledochojejunostomy in combination with reflux prevention could have better effect on patients with intrahepatic bile duct stone.
