Indeterminate biliary stricture(IBS)refers to biliary stricture with an uncertain histological diagnosis^([1])and can be classified as non-neoplastic stricture or neoplastic stricture.The former is mainly caused by va...Indeterminate biliary stricture(IBS)refers to biliary stricture with an uncertain histological diagnosis^([1])and can be classified as non-neoplastic stricture or neoplastic stricture.The former is mainly caused by various inflammatory biliopancreatic diseases,congenital malformations,or postoperative bile duct injury,while the latter exists in neoplastic lesions such as cholangiocarcinoma,invasion from pancreatic cancer,and adenomas in the bile duct.Most non-neoplastic strictures can be relieved by endoscopic or conservative medical treatment,and only a few require surgical intervention.Nevertheless,radical surgery or palliative biliary drainage should be applied for neoplastic strictures according to the progression of the disease.Therefore,it is essential to obtain an accurate diagnosis for IBS in clinical work.展开更多
Super minimally invasive surgery(SMIS)is a new concept proposed in 2016,which is defined as“curing the disease while preserving the integrity of human organ anatomy.”[1]Its concept has been accepted by the World End...Super minimally invasive surgery(SMIS)is a new concept proposed in 2016,which is defined as“curing the disease while preserving the integrity of human organ anatomy.”[1]Its concept has been accepted by the World Endoscopy Organization and Chinese Society of Digestive Endoscopy.The obvious advantage of SMIS is to cure diseases without damaging the structure and function of organs.For cancer patients,it can ensure a normal survival time and postoperative quality of life(QoL).展开更多
文摘Indeterminate biliary stricture(IBS)refers to biliary stricture with an uncertain histological diagnosis^([1])and can be classified as non-neoplastic stricture or neoplastic stricture.The former is mainly caused by various inflammatory biliopancreatic diseases,congenital malformations,or postoperative bile duct injury,while the latter exists in neoplastic lesions such as cholangiocarcinoma,invasion from pancreatic cancer,and adenomas in the bile duct.Most non-neoplastic strictures can be relieved by endoscopic or conservative medical treatment,and only a few require surgical intervention.Nevertheless,radical surgery or palliative biliary drainage should be applied for neoplastic strictures according to the progression of the disease.Therefore,it is essential to obtain an accurate diagnosis for IBS in clinical work.
基金National Key Research and Development Program of China(No. 2016YFC1303601)Beijing Municipal Science& Technology Commission(No. Z181100001718177)
文摘Super minimally invasive surgery(SMIS)is a new concept proposed in 2016,which is defined as“curing the disease while preserving the integrity of human organ anatomy.”[1]Its concept has been accepted by the World Endoscopy Organization and Chinese Society of Digestive Endoscopy.The obvious advantage of SMIS is to cure diseases without damaging the structure and function of organs.For cancer patients,it can ensure a normal survival time and postoperative quality of life(QoL).
