微创技术在胆道外科应用的现状

Current status of minimally invasive biliary surgery

1987年Mouret完成第1例LC以后，Dubois在1990年报道了36例LC，从此开创了胆道外科的腹腔镜微创技术时代。以腹腔镜技术为首的微创技术现已广泛应用于胆道外科疾病的诊断和治疗中。徽创外科技术的应用改善了传统胆道手术创伤大、痛苦大、住院时间长的不足，对患者的生理及心理影响小，使患者更乐意接受做创治疗。

Minimally invasive biliary surgery developed rapidly and laparoscopic cbolecystectomy has become the ＂gold standard＂ for the treatment of benign gallbladder disease. Combined application of endoscopic and uhrasonic technology improved the diagnosis of biliary diseases. Endoscopic balloon dilation or sphincterotomy of duodenal papilla to remove common bile duet stones and internal biliary stent placement under ERCP for obstructive jaundice caused by biliary tumors provided safe and satisfactory therapeutic effect. However, in the laparoseopic era, minimally invasive techniques should still be used in conjunction with traditional biliary surgery. Meanwhile, strict indication should be emphasized to avoid the occurrence of complications.