关键词: 肝胆管结石病, 胆道狭窄, 开放手术, 腹腔镜, 机器人辅助手术, 内镜

Abstract: Surgical management of biliary stricture related with hepatolithiasis        LI Yun-feng,ZHU Si-wei,YIN Xin-min. Department of Hepatobiliary Surgery, Hunan Provincial People′s Hospital, the First Affiliated Hospital of Hunan Normal University, Changsha 410005, China
Corresponding author： YIN Xin-min,E-mail:13319587618@163.com
LI Yun-feng and ZHU Si-wei are the first authors who contributed equally to the article
Abstract    Hepatolithiasis is often accompanied by biliary stricture. Treatment methods include liver resection, biliary dilatation & plasty, and so on. Techniques choices include open surgery, laparoscopic surgery, robotic-assisted surgery, and endoscopic manipulation, each has its unique advantage. Management of hepatolithiasis-related biliary stricture should be individualized based on a full evaluation of the patient’s condition. The sentence here recommends two surgical assessments and techniques for determining the suitability of performing a choledochoplasty, specifically the “P point” and “U point” for judging the location of biliary stricture and the “Yin's choledochoplasty” as the preferred method for reconstructing and forming the bile duct.

Key words: hepatolithiasis, biliary stricture, open surgery, laparoscopy, robotic-assisted surgery, endoscopy