胆总管结石的微创治疗现状

The current situation of minimally invasive skills in the treatment of choledocholithiasis

目的探讨胆总管结石的微创治疗方法。方法采用回顾性分析方法，总结临床上目前用于治疗胆总管结石的各种微创技术，加强对胆总管治疗的充分认识。结果胆总管结石的微创治疗方法主要包括内镜乳头括约肌切开或内镜下十二指肠乳头气囊扩张取石术、经纤维胆道镜取石术、腹腔镜胆总管探查术及三镜联合应用的治疗方法。结论各种微创技术给胆总管结石的治疗带来了观念上的更新。随着设备、器械的改进，微创技术治疗胆总管结石将占有重要的地位。

Objective To discuss the minimally invasive skills in the treatment of choledocholithiasis. Methods A retrospective analysis was made to sum up the minimally invasive methods in the treatment of choledocholithiasis, reinforcing sufficient cognition to the treatment of the disease. Results The minimally invasive methods in the treatment of choledocholithiasis included endoscopic sphincterotomy, endoscopic papillaryballoon dilation, fibercholedochoscopy, laparoscopic common bide ductexploration and laparoscopy combined with endoscopy in treating choledocholithiasis. Conclusion The conception of the treatment of choledocholithiasis was renewed by different minimally invasive skills. With the development of the medical apparatus and instruments, the minimally invasive skills will play an important role in the treatment of choledocholithiasis.