摘要
近年来随着内镜技术的飞快发展,国内加速康复外科(ERAS)理念的提出并趋向成熟,胆囊结石合并胆总管结石的诊疗已进入微创时代,越来越多的外科医师认识到围术期运用ERAS理念的重要性。在诊疗过程中应既全面考虑患者的实际病情,又兼顾术者自身的知识层面及微创诊疗操作技术的掌握程度,从而选择适合患者的个体化治疗方案,才能达到临床治愈的最佳效果。目前对于胆囊结石合并胆总管结石的微创诊疗尚无统一的最佳手术方案。
In recent years,with the rapid development of endoscopic technology and the concept of enhanced recovery after surgery(ERAS),diagnosis and treatment of gallstone with choledocholithiasis has entered the era of minimally invasive procedure,and more and more surgeons have recognized the importance of ERAS during perioperative period.In the process of diagnosis and treatment,the surgeons should fully consider the patients′actual condition,and meanwhile,consider the knowledge and techniques of the surgeon for minimally invasive diagnosis and treatment,so as to select individualized procedure for different patients,so as to achieve the best clinical effect.Currently,there are no uniform surgery options for the minimally invasive diagnosis and treatment of gallstone with common bile duct stone.
作者
艾则麦提.艾科拜尔
温浩
AIZEMAITI·Aikebaier;WEN Hao(Hepatobiliary&Hepatic Hydatid Department of Digestive and Vascular Surgery Center,the First Affiliated Hospital,Xinjing Medical University,Urumqi 830054,China)
出处
《医学综述》
2018年第5期961-965,共5页
Medical Recapitulate
关键词
胆囊结石
胆总管结石
微创诊疗
加速康复外科
Gallstone
Choledocholithiasis
Minimally invasive treatment
Enhanced recovery after surgery