关键词: 胆囊结石, 肝外胆管结石, 急性胆囊炎, 先天性胆管扩张症, 胆管损伤, 壶腹部, 内镜逆行胰胆管造影, 内镜, 支架, 腹腔镜, 胆肠吻合

Abstract:

Controversy and consensus on diagnosis and treatment of benign diseases of biliary tract        TANG Zhao-hui, JIN Long-yang, WEI Miao-yan, et al.Department of General Surgery, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200092, China
Corresponding author: TANG Zhao-hui,E-mail:tangzhaohui@
yahoo.com
Abstract    With the application and development of new ideas and new technologies, great progress has been made in the diagnosis and treatment of benign biliary diseases. Surgical treatment of benign biliary tract disease mostly have a consensus, but there is still controversy, such as the timing of surgery of cholecystolithiasis complicated with acute cholecystitis, surgery of congenital biliary dilatation, cholangioenterostomy of recurrent extrahepatic bile duct stones, the value judgment in the treatment of bile duct injury, the choice of endoscopic therapy and surgery of benign tumors of ampulla. In view of the current dispute, biliary surgeon should establish the multidisciplinary team diagnosis and treatment model, then reach consensus and conduct multi center and large sample clinical research,finally propose the guidelines that can provide clinicians with reasonable,standardized therapeutic schemes and provide patients with the best, personalized treatment.

Key words: cholecystolithiasis, extrahepatic bile duct stone, acute cholecystitis, congenital biliary dilatation, bile duct injury, ampulla, endoscopic retrograde cholangiopancreatography, endoscope, stent, laparoscope, cholangioenterostomy