微创外科时代胆道外科的前程与归宿

Prospect and destination of biliary surgery in the era of minimally invasive surgery

自20世纪90年代以来,以LC、达芬奇机器人手术系统为代表的微创外科的兴起,使独占鳌头100多年,具有治疗胆囊疾病"金标准"地位的传统开腹胆囊切除术失去昔日的辉煌.传统胆道外科的发展,走过了不少崎岖的路程.它随着科技的发展而诞生、成熟,而今又在科技发展浪潮下面临着新的变革.微创外科时代的到来,胆道外科的前程与归宿在哪里?这是值得我们探索和研究的课题.

Bile duct has great attraction to surgeonsdue to its special anatomical location, unique biological features and origin of complicate diseases. Minimally invasive surgery, represented by laparoscopic cholecystectomy and Davinci robotic surgical system, has brought technic revolutions to traditional biliary surgery. In order to understand the prospect and regression of biliary surgery in the new era, we need to upgrade the knowledge of the biliary system, and systemically investigate the anatomy and development of bile duct. The study of biliary system should follow the path of extrahepatic system to hilar and then to the intrahepatic system, and the intrahepatic biliary disease should be emphasised in this new era.