中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

胆道镜治疗肝内胆管结石的要点与难点

冯秋实，边大鹏   

  1. 北京大学第一医院肝胆外科，北京 100034
  • 出版日期:2017-08-01 发布日期:2017-07-25

  • Online:2017-08-01 Published:2017-07-25

摘要：

胆道镜治疗术后残余结石的要点和难点主要在于如何寻找结石，如何解决狭窄，如何处理巨大结石，如何取出结石，如何判断结石取净等。同时，通过学习一些特殊情况下的胆道镜应用技巧，如经皮经肝胆道镜和胆肠吻合术后胆道镜的经验和技巧，可以提高外科医师在胆道镜治疗术后肝内胆管结石方面的水平。

关键词: 肝内胆管结石, 胆道镜

Abstract:

Key points and difficulties of choledochoscopy technique in hepatolithiasis        FENG Qiu-shi，BIAN Da-peng. Peking University First Hospital，Beijing 100034，China
Corresponding author: FENG Qiu-shi，E-mail:fqschina@sina.com
Abstract    Key points and difficulties of the treatment of postoperative residual stones by choledochoscopy are how to find the stone, how to solve the narrow, how to deal with the huge stones, how to remove the stones, how to determine the stones are taken clean , etc. At the same time, by learning the experiences and some choledochoscope application skills in special situations, such as percutaneous transhepatic choledochoscope and choledochoscope after choledochojejunostomy, surgeons may be able to improve endoscopic treatment of intrahepatic lithiasis after operation.

Key words: intrahepatic lithiasis, choledochoscope