急性结石性胆囊炎微创治疗的研究进展

Research Advances in Treatment for Acute Calculous Cholecystitis with Minimally Invasive Surgical Technology

随着临床医师经验的积累、技术的提高以及设备的升级,急性结石性胆囊炎的治疗方式已由早期的开腹手术向微创治疗转变,微创治疗方式包括腹腔镜胆囊切除术,腹腔镜胆囊次全切除术,经皮经肝胆囊穿刺引流术。但微创治疗在适应证、具体治疗方式的选择、手术时机、并发症等方面仍存在争议。

As the accumulatnon of clnmeal doctors experience,the Improvement ot technology and the promotion of equipment, the therapeutic methods for acute calculous cholecystitis has e.hanged from early tra- ditional laparotomy to minimally invasive surgical technology,including laparoscopie chnelcystectomy laparu- scopic subtotal choelcystectomy and percutaneous transhepatie gallbladder drainage. However in minimally invasive surgery,there still are some arguments on selecting the indications,specific treatment method suit- able time for operation, and complications as well.