腹腔镜微创技术在肝外胆管结石治疗中的应用策略

Application of minimally invasive laparoscopic technique in the treatment of extrahepatic cholangiolithiasis

肝外胆管结石是肝胆外科常见多发病。随着腹腔镜技术的发展成熟,微创技术治疗肝外胆管结石的理念已被广泛接受。目前,腹腔镜、胆道镜、十二指肠镜联合使用使腹腔镜微创治疗的策略趋向多元化,但其临床选择和应用仍存在一定争议。本文对腹腔镜在肝外胆管结石治疗中的应用进展予以综述,总结微创技术在肝外胆管结石治疗中的应用经验和策略。

Extrahepatic cholangiolithiasis is a common disease in hepatobiliary surgery.With the development and maturity of laparoscopy,the concept of minimally invasive technique for the treatment of Extrahepatic cholangiolithiasis has been widely accepted.At present,the combination of laparoscopy,choledochoscopy and duodenoscopy has diversified the strategies of minimally invasive laparoscopic therapy,but there is still some controversy over the clinical selection and application.In this paper,the application status and progress of laparoscopy in the treatment of extrahepatic cholangiolithiasis were reviewed,and the application experience of minimally invasive technique was summarized.