【摘要】 目的：评价腹腔镜肝切除术治疗肝内胆管结石的临床疗效。方法：回顾性分析2009年9月～2011年2月我院收治的22例肝内胆管结石患者，行腹腔镜肝切除术。结果：本组患者均手术成功，无一例死亡，无中转开腹者。22例患者行左肝外叶切除加胆囊切除加胆总管探查19例，左半肝切除加胆囊切除3例。术中病人生命体征平稳，无严重不良反应，本组平均手术时间(189.2±50.3)min，术中平均出血量(190.5±44.7)ml，平均住院时间(7.5±2.1)d。本组无术后并发症发生。随访3~18个月，无结石复发。结论：腹腔镜肝内胆管结石切除术具有创伤小、疗效好、住院时间短等优点，是一种安全可行的手术方法。

    【关键词】 腹腔镜；肝内胆管结石；肝切除术

    Clinical effect of laparoscopic hepatectomy for hepatolithiasis

    【Abstract】 Objective: To study the clinical effect of laparoscopic hepatectomy for hepatolithiasis. Methods: Retrospective of 22 hepatolithiasis patients from September 2009 to February 2011. Laparoscopic hepatectomy was performed. Results: Procedure was all successful. 22 patients with hepatolithiasis were treated by anatomical resection of left lateral liver and laparoscopic cholecystectomy and common bile duct exploration. 3 patients with hepatolithiasis were treated by anatomical left liver resection and laparoscopic cholecystectomy. The operative duration was (189.2±50.3)min. The quantity of blood lost during the operation was (190.5±44.7)ml. The postoperative hospital stay was (7.5±2.1)d. There is no serious morbidity and mortality. No stone was relapsed during follow up. Conclusion: Treatment of hepatolithiasis by total laparoscopic liver resection is a safe and feasible method. ......