论肝内结石的外科治疗——关于亚段肝切除术设想

Subsegmentectomy for Intrahepatic Cholelithiasis A New Design

肝脏、胆道和胰腺的生理、病理和病理生理情况十分复杂。许多新问题层出不穷地显露出来。有些病过去知之不多,现在已为常见,可能不是过去少,而是临床和基础研究不断深入了。胆道作为一个排输管道把肝和胰联系起来,在科研思维上形成一个系统。这个系统的概念,由于它们共营消化和代谢功能上的一致性。

Although the duct of Wirsung joins with the common bile duct at the ampulla as a common channel appears a little more than half (60％) of the human bodies, both ducts are encircled as a whole by the Oddi's sphincter unexceptionally. The gallbladder and the pancreas react to intestinal endocrine and the nerve impulse simultaneously to expel their digestive fluids. Modern study in biomedical engeneering, especially the fluid dynamics is concerned more in surgery, regards the liver, biliary tract and pancreas as a system entity.Hepato-cholo-pancreatic surgery is individualized as a branch division of general surgery just as that happened in genitourinary surgery, chest surgery, etc. Branch departments from general surgery run many hospital.Clinical and lab works expanded.Research deepens more in a single subject and calls for more multiple sciences cooperation. Farther development is reindividualization into subdivisions such as hepatic surgery,biliary surgery and panereatic surgery. Biliary surgery in China displayed many domestic chacarteristic becoming more prominent.