左右肝管低位汇合的临床特点及外科治疗

目的 探讨左右肝管低位汇合的有效诊治方法。方法 对1985年3月－1999年5月16例肝管低管低位汇合患者的诊断和治疗进行回顾性分析，结果 择期手术10例，胆管炎发作急诊手术6例，取石后T管引流5例，肝管成形，胆肠吻合11例，术后肝内结石残留3例，无一例死亡。随访13例，随访13例，随访时间1－12年，无症状复发。结论 注重术前检查，避免误伤胆管，防止残留结石，彻底解决狭窄并通畅引流是治疗本病的有效方法。

CLINIC FEATURES AND SURGICAL TREATMENT OF LOW POSITIONED CONFLUENCE OF RIGHT AND LEFT HEPA TIC DUCTS

Obiective To explore the effective methods of diagnosis and treatment of low positioned confluence of right and left hepatic ducts.Methods From Mar.1985 to May 1999,16 cases with low positioned confluence of hepatic ducts were evaluated in their diagnosis and surgical treatment.Results selected operation was performed for 10 cases,and emergency operation for 5 cases because of acute cholangitis.T tube drainage was done for 5 cases ,plastic operations and hepaticojejunostomy for 11 cases .Residual hepatolithiasis were identified in 3 cases after operation.No death.13 cases have been followed up for 1 to 12 years,No recurrence of symptoms.Conclusion Pay attention to the examination before surgery,avoid injurying hepatic ducts,prevent residual stones,plastic operations and hepaticojejunostomy are the effective methods to cure the disease.