腹腔镜在胆道外科中的应用

Application of laparoscope in biliary surgery

在胆道外科领域,腹腔镜不仅以胆囊切除术在临床上广泛使用,还可通过腹腔镜胆总管探查术处理单一的胆总管小结石;作为治疗性ERCP的辅助手段,在处理胆源性胰腺炎和急性化脓性胆管炎方面亦占有重要地位。但其最重要的并发症,胆道损伤的分类和处理亦应引起高度重视。

Laparoscopic cholecystectomy not only have widely been employed in biliary surgery, but the laparoscope could treat the single small common bile duct stone with the laparoscopic common bile duct exploration; and as the assistant of therapeutic ERCP, the laparoscopic cholecystectomy also play an important role in dealing with the cholecystopancreatitis and acute suppurative cholangitis. However, the classification and management of biliary inury, the most important complication of laparoscope, should be recognized.