胆总管结石的微创诊治进展

Progress of Minimally Invasive Diagnosis and Treatment of Patients with Choledocholithiasis

目的总结胆总管结石的微创诊治进展。方法复习近年来国内外对胆总管结石微创诊治进展的相关文献并进行综述。结果患者胆总管结石的术前诊断非常重要,仍需结合临床症状、生化指标、影像学检查等综合考虑,联合或单一应用腹腔镜、十二指肠镜、胆道镜技术在治疗胆总管结石方面发挥了各自优势,已成为治疗胆总管结石最主要的微创方式。结论早期诊断和选择有效的微创治疗方式,可收到良好的治疗效果,且符合现代外科的损伤控制和快速康复理念。

Objective To summarize recent progress of minimally invasive diagnosis and treatment of patients with choledocholithiasis. Method The literatures relevant to progress of minimally invasive diagnosis and treatment of patients with choledocholithiasis at home and abroad in recent years were summarized and reviewed. Results The preoperative diagnosis of patients with choledocholithiasis was very important, and it still needed to combine with the clinical symptoms, biochemical indicators, and imaging examination and so on. Combined or single application of laparoscopy, endoscopy, biliary endoscopy to reflect their respective advantages in the treatment of choledocholithiasis,it had become the most important minimally invasive treatment method. Conclusion Early diagnosis and proper minimally invasive approach are important for good therapeutic efficacy, and realize modern surgical idea for damage control and rapid recovery.