Minimally invasive treatment of extrahepatic bile duct stones
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摘要: 随着腔镜技术和设备的不断完善,胆道结石病的微创治疗越来越呈现多样化。介绍了胆道结石病的微创治疗理念、手术适应证、禁忌证、手术方法、手术优缺点等。认为,腹腔镜的应用为胆道结石病的微创治疗奠定了基础,而胆道镜和内镜的联合应用为胆道结石病的微创治疗带来了新思路。"三镜"联合应用避免了传统开腹的创伤大、手术时间长等缺点,减少了患者的痛苦和并发症。"三镜"联合还有很大上升空间,只要掌握好几种术式的适应证,客观地评价其安全性和有效性即可发挥其最大的作用。
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关键词:
- 胆结石 /
- 外科手术,微创性 /
- 腹腔镜检查 /
- 胰胆管造影术,内窥镜逆行 /
- 综述
Abstract: With the continuous improvement of endoscopic technology and equipment,minimally invasive treatment of bile duct stones becomes increasingly diversified.In this paper,the concept of minimally invasive treatment of bile duct stones,surgical indications and contraindications,surgical methods,and the advantages and disadvantages of surgical methods are introduced.It is shown that the application of laparoscope has laid the foundation for the minimally invasive treatment of bile duct stones,and the combined application of choledochoscope and endoscope has brought new ideas for minimally invasive treatment of bile duct stones.The combination of three endoscopes avoids the disadvantages of traditional open surgery: large trauma and long operation time,and reduces the patient' s pain and complications.In the near future,the combination of three endoscopes still has much room for growth.As long as the indications for several surgeries are mastered and the safety and efficacy are evaluated objectively,the combination of three endoscopes will play the biggest role.
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