恶性梗阻性黄疸手术治疗研究进展

恶性梗阻性黄疸作为肝胆外科较为常见的疾病,对患者机体的损害较大,而且不利于预后。恶性梗阻性黄疸起病隐匿,患者得到确诊时肿瘤已发展为中晚期,错过了治疗的最佳时机。目前临床主要采用外科手术(根治性及姑息性)、内镜、ERCP、PTCD等治疗方法,随着微创技术达芬奇机器人的发展,对恶性梗阻性黄疸的治疗,特别是高龄患者有了更好的方法,扩大了手术的适应范围。根据患者病情及适应症,可以选择更适合的治疗方法,提出了更为合理的个人规范模式,使患者获益更多。本文对临床治疗恶性梗阻性黄疸的手术治疗的主要方法进行综述,旨在为恶性梗阻性黄疸的临床研究提供参考。

Progress in the Operation on the Malignant Biliary Obstruction

As a common disease in hepatobiliary surgery, the malignant obstructive has bad effects on the human body and clinical prognosis. Due to its insidious onset, the symptoms of tumor has been found in the advanced stage of the malignant obstructive jaundice, which has a poor treatment effect. At present, surgery (radical and palliative), endoscopy, ERCP, PTCD and other treatments, with the development of minimally invasive technology DaVinci robot, the treatment of malignant obstructive jaundice was obvious with a better way to expand the scope of the operation, especially for the elderly patients. According to the patient''s condition and indications, you can choose a more suitable treatment method, put forward a more reasonable mode of personal norms, so that patients benefit more. In this paper, the main methods of surgical treatment of malignant obstructive jaundice were reviewed in order to provide a reference for clinical research of malignant obstructive jaundice.