肝胆管结石病微创治疗的研究现状

Research status of minimally invasive treatment for hepatolithiasis

肝胆管结石病是一种常见的良性临床疾病,但肝胆管结石病经常伴随着反复的胆管炎发作,可导致肝脓肿、肝萎缩和肝纤维化。肝胆管结石病处理方法越来越多样,但治疗原则依然遵循“去除病灶、取尽结石、矫正狭窄、通畅引流、防治复发”的20字方针。手术微创化是当前外科学发展的一大趋势,尤其是在肝胆管结石病的治疗方面也有显著的进展。微创治疗不仅减少传统开放手术对身体的创伤,给患者提供更优质的治疗,还可降低患者的住院时间和费用。在已有文献的基础上,从介入治疗、腹腔镜手术治疗、内镜治疗3个方面,综述了近年来肝胆管结石病微创手术治疗的现状,旨在寻找最优方案,为患者提供更优质的治疗服务。

Hepatolithiasis is a common benign clinical disease,but it is often accompanied by recurrent episodes of cholangitis,which can lead to liver abscess,liver atrophy,and liver fibrosis.The treatment methods for hepatolithiasis are becoming more and more diverse,but the treatment principle still follows the 20-word policy of″removing the lesion,removing all the stones,correcting stenosis,unobstructed drainage,and preventing recurrence″.Minimally invasive surgery is a major trend in the current development of surgery,especially in the treatment of hepatolithiasis,which has made significant progress.Minimally invasive treatment not only reduces the trauma of traditional open surgery to the body,provides patients with better quality treatment,but also reduces hospital stay and costs.Based on existing literature,this article reviews the current status of minimally invasive surgical treatment for hepatolithiasis in recent years from three aspects:interventional therapy,laparoscopic surgery,and endoscopic treatment.The aim is to find the optimal solution and provide patients with better treatment services.