Objective:To explore the clinical effects of precise liver resection method in hepatolithiasis. Method:86 cases with hepatolithus underwent hepatectomy from Octomber 2012 to December 2014 were reviewed retrospectively.Result:Operative time was (242±42.2)min, blood loss was (312±64.3)mL, hospital stay was (16.4±4.2)d, among the patients, 2 cases of bile leakage, 1 case infection of the wound,5 case of pleural effusion,all patients were cured.The time following-up activities were 1 to 24 months,2 cases of recurrence stones.Conclusion:Precise liver resection method is an effective treatment for choledochotomy with a low rate of complications and recurrent stone,it is worth of clinical application.%目的：探讨精准肝切除术对肝内胆管结石患者的疗效。方法：回顾性分析本院2010年10月-2014年12月行肝叶切除治疗肝内胆管结石患者共86例的临床资料。结果：手术时间（242±42.2）min，术中出血量（312±64.3）mL，住院时间（16.4±4.2）d。术后1例患者出现切口感染，胸腔积液5例，胆漏2例，经对症治疗后治愈，随访1~24个月，结石复发2例。结论：精准肝切除治疗肝内外胆管结石是一种有效的方法，达到手术安全性、治疗有效性以及干预微创化的统一，术后并发症发生率低，结石复发率低，值得临床推广应用。
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