肝胆管结石外科治疗方式的选择

Surgical Treatment for Hepatolithiasis

肝胆管结石是肝胆外科的常见疾病,在我国各个年龄段均有发病。该病的病理生理机制复杂,严重影响患者的生存率和生活质量,治疗后也有着较高的复发率。外科手术是目前治疗肝胆管结石的首选方式。随着医学技术的发展,胆管探查取石术、胆管-空肠Roux-en-Y吻合术、肝切除术、经皮肝胆管穿刺胆管镜取石术等各种外科治疗方式各有其特点,根据患者具体情况选择个体化的方案以达到最大化的结石清除率及最低的结石复发率是治疗该疾病的关键。

Hepatolithiasis is one of the common diseases in hepatobiliary surgery department,with onset observed in all age groups in China. The pathophysiological mechanism of the disease is complex,which can seriously affect patient’ s survival rates and life quality,and the recurrence rate after treatment is high. Nowadays,surgical treatment is the first choice to treat hepatolithiasis. With the development of medical technology,such as biliary exploration,Roux-en-Y hepaticojejunostomy,hepatectomy,percutaneous transhepatic cholangioscopy and so on,and each surgical treatment with own characteristics,choosing individualized regimen on the basis of each patient’s specific circumstance to achieve the maximized stone removal rate and the minimized stone recurrence rate is the key to the treatment.