中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (07): 563-565.

• 专家论坛 • 上一篇    下一篇

微创时代复杂胆道结石的处理

张忠涛   

  1. 首都医科大学附属北京友谊医院普外科,北京100050
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-07-08 发布日期:2009-07-08

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-07-08 Published:2009-07-08

摘要:

随着纤维十二指肠镜、胆道镜以及腹腔镜技术的广泛应用,多镜联合治疗胆管结石已经日趋成熟,成为传统治疗技术的有益补充。拟采用微创技术治疗的病人,更应对其病情进行全面的了解,准确进行术前评估。无论采用何种治疗方式,都必须严格遵守“祛除病灶、解除梗阻、取尽结石、通畅引流”的治疗原则。每一位外科医生都应该努力掌握微创技术,以便统览全局,为病人制定出有效、微创的“个体化”治疗方案。在遇到无法解决的困难时,术者应及时改变治疗策略,甚至中转开腹手术,避免胆道损伤。

关键词: 微创外科, 胆道结石

Abstract:

Treatment of complicated cholelithiasis in Era of minimally invasive Surgery GUO Wei,ZHANG Zhong-tao. Department of General Surgery, Beijing Friendship Hospital,Capital Medical University , Beijing100050,China Corresponding author: ZHANG Zhong-tao,E-mail:zhangzht@medmail.com.cn Abstract With the maturity of fiber duodenoscope, choledochoscope and laparoscopic technique, the hybrid minimally invasive surgery has been more and more popular in the therapy of bile duct stone, and became useful alternative procedure to the treatment. For the patients to be treated by the minimally invasive technique, the preoperatively accuate assessment and comprecensive planning are very important. No matter what procedure would be used, it must obey the following principles: eliminating lesions, relieving obstruction, clearing stones and expediting drainage. Every surgeon should master the all these techniques, in order to plan an effective, minimally invasive and individualized treatment, meanwhile to try to avoid iatrogenic bile duct injure.

Key words: minimally invasive surgery, bile duct stone