中国实用外科杂志

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肝胆管结石治疗理念变迁及技术进步

窦科峰,林智斌   

  1. 空军军医大学第一附属医院肝胆外科,陕西西安710032
  • 出版日期:2024-03-01

  • Online:2024-03-01

摘要: 肝胆管结石是我国常见的消化系统疾病,其发病具有明显的地域性特征。然而该疾病的治疗具有一定的难度,是肝胆外科医生需要攻克的难题之一。现今在智能化诊断和精准化外科高速发展的背景下,肝胆管结石病的诊治理念和技术迎来了新的变革。例如以三维可视化为代表的新技术为肝胆管结石病的术前诊断、评估和手术规划提供了重要的支撑;以腹腔镜肝部分切除术为代表的微创手术已经成为治疗肝胆管结石病最重要的手段之一。在新时代下的外科医生仍应秉持“以人为本”的基本理念,结合最前沿的技术手段,探索治疗肝胆管结石病的新方法,不断推动病人利益最大化。

关键词: 肝胆管结石, 胆管癌, 三维可视化, 人工智能, 精准外科, 腹腔镜肝部分切除, 介入治疗, 胆道镜, 肝移植

Abstract: Advances in the therapeutic concepts and technologies of hepatolithiasis        DOU Ke-feng, LIN Zhi-bin. Department of Hepatobiliary Surgery, the First Affiliated Hospital of Air Force Medical University, Xi′an 710032, China
Corresponding author:DOU Ke-feng,E-mail:doukef@fmmu.edu.cn
Abstract    Hepatolithiasis is a common disease of the digestive system in China, and its occurrence has obvious regional characteristics. However, the treatment of this disease is difficult, which is one of the challenges that hepatobiliary surgeons need to overcome. Nowadays, under the rapid development of intelligent diagnosis and precision surgery, new concepts and technologies have been applied in the diagnosis and treatment of hepatolithiasis. For example, new technologies represented by three-dimensional visualization provide important support for preoperative diagnosis, evaluation, and surgical planning of hepatolithiasis; minimally invasive surgeries represented by laparoscopic hepatectomy have become the most important therapies for hepatolithiasis. Surgeons in this new era should still uphold the basic concept of being “people-oriented”, combine with the most advanced technical means, explore new methods for the treatment of hepatolithiasis, and constantly promote the maximization of patients' interests.

Key words: hepatolithiasis, cholangiocarcinoma, three-dimensional visualization, artificial intelligence, precision surgery, laparoscopic hepatectomy, interventional therapy, choledochoscope, liver transplantation