右肝后叶胆管结石的腹腔镜治疗策略

Strategy of laparoscopic treatment of right posterior bile duct hepatolithiasis

肝胆管结石病是我国常见胆道疾病,其外科治疗原则为“去除病灶、取尽结石、矫正狭窄、通畅引流、防治复发”。近年来腹腔镜技术发展迅速,其被越来越多地应用于肝胆管结石病的外科治疗。右肝后叶胆管是肝胆管结石好发部位,由于其解剖位置的特殊性,腹腔镜下施行右肝后叶切除、右肝后叶胆管取石或胆管狭窄整形等,均存在难度。笔者查阅相关文献,结合团队临床实践经验,探讨右肝后叶胆管结石的腹腔镜治疗策略,旨在为外科同道提供参考。

Hepatolithiasis is a common biliary disease in China.Surgical treatment principles of hepatolithiasis include"removing lesions,cleaning stones,correcting strictures,recovering the drainage and preventing the recurrence".Laparoscopic techniques have been increasingly applied in surgical treatment of hepatolithiasis recently.Right posterior bile duct is a predilection site of hepatolithiasis.Due to its unique anatomy,right posterior lobectomy,right posterior bile duct lithotomy and plasty remain challenging under laparoscopy.Based on relevant literatures and clinical experiences,the authors explore the strategy of laparoscopic treatment right posterior bile duct hepatolithiasis,aiming to provide reference for surgical colleagues.