精准外科视角下良性胆道狭窄内镜诊断与治疗进展

Progress in endoscopic diagnosis and treatment of benign biliary strictures in the sights of precision surgery

良性胆道狭窄(BBSs)是困扰胆道外科的临床难题,外科手术和内镜治疗是其常用诊断与治疗方法。内镜技术的快速发展对传统外科提出挑战。如何将两者有序融合,扬长避短,需要指导理念的突破。精准外科以确定性、预见性、可控性、规范化、个体化和系统化为特点,成为融合外科手术和内镜技术的理想之选。笔者结合临床实践,以贯彻精准外科核心要素为技术抓手,探讨精准外科视角下BBSs的内镜诊断与治疗策略。

Benign biliary strictures(BBSs)is a kind of difficult clinical problem in biliary surgery.Surgery and endoscopic treatment are common diagnostic and therapeutic methods.The rapid development of endoscopic technology challenges the traditional surgery.How to integrate surgery and endoscopic technology in an orderly manner and develop strengths and circumvent weaknesses requires a breakthrough in guiding ideas.The precision surgery,with the characteristics of certainty,predictability,controllability,standardization,individualization and systematization,has become an ideal choicfor integrating surgery and endoscopic technology.Based on clinical practice,the authors discuss the endoscopic diagnosis and treatment strategy of BBSs from the perspective of precision surgery by implementing the core elements of precision surgery.