关键词: 急性胆道感染, 急性胆囊炎, 急性胆管炎, 指南, 腹腔镜胆囊切除术

Abstract:

Interpretation of Tokyo Guidelines 2018 for management of acute cholangitis and cholecystitis        ZHANG Yu-hua.  Department of Hepaticobiliarypancreatic and Minimally Invasive Surgery, Zhejiang Provincial People's Hospital, Hangzhou 310014, China
Abstract    Tokyo guideline for management of acute cholangitis and cholecystitis is world’s first acute biliary infection guideline and is widely accepted worldwide. The TG18 was distributed this year and compared with TG13, some change has made. There is no change in diagnosis criteria and severity grading. However, minimally invasive treatment is more and more important in management of acute biliary infections. For example, open cholecystectomy has been replaced by laparoscopic cholecystectomy in treatment of acute cholecystitis and open common bile duct decompression in treatment of acute cholangitis. TG18 is more much closer to actual clinical practice,which has practical significance.

Key words: acute biliary infection, acute cholangitis, acute cholecystitis, guideline, laparoscopic cholecystectomy