关键词: 胆道外科, Oddi括约肌, 医源性胆管损伤, 胆道肿瘤, 综合治疗

Abstract:

Problems and reflections of biliary surgery        QUAN Zhi-wei, WANG Jian-dong. Department of General Surgery, XinHua Hospital Affiliated to Shanghai JiaoTong University, School of Medicine，Shanghai 200090，China
Corresponding author：QUAN Zhi-wei，E-mail：zhiwquan@163.com
Abstract    The biliary tract system is the junction of the upper digestive tract system which directly connected the liver, pancreas and gastrointestinal tract. Also, its anatomical position and physiological function are unique. With the change of the disease spectrum and the progress of technology, the focus and difficulty of biliary surgery have changed deeply. Retaining function of Oddi's sphincter, preventing iatrogenic bile duct injury, emphasizing the comprehensive treatment of biliary tract tumors and strengthening the basic clinical research of biliary tract tumors are the most important issues.

Key words: biliary surgery, Oddi sphincter, iatrogenic bile duct injury, biliary tract tumors, comprehensive treatment