http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
이창수(Chang Su Lee),신인석(In Suk Shin),박홍길(Heung Gil Park) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.1
N/A Clinical analysis of 142 cases of intrahepatic duct stones those were diagnosed and treated at the department of General Surgery, National Medical Center, Seoul, form Jan. 1975 to Dec. 1987, according to the operative procedures and their long term effect. The results were as follows; 1) Before 1980, cholecystectomy with T-tube drainage and choledochoduodenostomy were the most common operative procedures for the treatment of IHDS. Since 1981, we have done a new procedure- the wide opening choledochojejunostomy on the high CHD extended to the right and left hepatic ducts with the formation of proximal jejunostomy most frequntly. 2) The incidences of post-op cholangitis were 59%(37/63) in the cases of chlecystectomy with T-tube drainage, 51%(25/49) in theose of choledochoduodenostomy, 58%(8/14) in those of choledochojejunostomy and 18%(5/28) in those of the extended choledochojejunostomy plus proximal jejunostomy with or without left choledochojejunostomy plus proximal jejunostomy with or without left lateral segmentectomy of liver. 3) There were 14 cases of any procedure combined post-op cholangitis. However, there were no post-op cholangitis in 9 cases of the extended choledochojejunostomy with proximal jejunostomy combine the hepatic left lateral segmentectomy. Therefore, we concluded that the extended choledochojejunostomy with proximal jejunostomy would be more effective operative procedure for the management of the intrahepatic duct stones and the hepatic left lateral segmentectomy should be added to the above procedure in cases, stones were located in the left duct simultaneously or isolately,