恶性梗阻性黄疸外科治疗策略

Surgical strategy in the treatment of malignant obstructive jaundice

恶性梗阻性黄疸作为肝胆外科较为常见的疾病,其所造成的患者全身多器官功能障碍甚至衰竭,严重影响着患者的预后。恶性梗阻性黄疸目前仍是临床上疗效较差的疾病之一,因其起病隐匿,老年患者逐渐增多,往往待到症状明显时因肿瘤已属中、期,治疗效果不佳,近年来随着微创技术的发展,特别是达芬奇机器人系统的发展,对恶性梗阻性黄疸的治疗,特别是对高龄患者的治疗有了更好的方法,拓展了外科手术的年龄界限,扩大了手术适应人群。

Malignant obstructive jaundice is a commonly seen disease in hepatobiliary surgery. It can lead to a multiple organ dysfunction syndrome, organ failure, and poor prognosis. Malignant obstructive jaundice is one of the diseases with poor curative effects because of its hidden onset, and elderly patients incr6ased gradually with tumor in its advanced-stage, and the results of their treatment were undesirable. In the last few years, minimally invasive technology has developed rapidly, especially the invention of the da Vinci surgical system. The system is safe and effective in the treatment of elderly patients with severe obstructive jaundice.