肝外胆管结石微创治疗的研究进展

肝外胆管结石是肝胆外科临床常见病,严重威胁患者健康。目前该病治疗主要以手术治疗为主,以往的手术方式主要以剖腹胆总管切开取石为主,但创伤较大,恢复较慢,后遗症较多。随着微创技术的发展,腹腔镜、胆道镜及十二指肠镜等微创治疗技术以其创伤小、恢复快等优势越来越多的被肝外胆管结石患者采用。微创治疗肝外胆管结石的方法也日趋多样化,如经消化内镜治疗,经腹腔镜治疗,腹腔镜联合消化内镜治疗及腹腔镜、胆道镜、十二指肠镜三镜联合治疗等。本文就肝外胆管结石治疗中各种微创技术的研究进展做一综述。

Research Progress of Minimally Invasive Treatment of Extrahepatic Bile Duct Stones

ABSTRACT: Extrahepatic bile duct stone is a common clinical diseases in hepatobiliary surgery,and threatens the quality of life seriously. Current treatment were based on surgery, and the past surgery method were abdominal bile duct incision to take stones. With the development of the minimally invasive technology, the method to treatment the extrahepatic bile duct stone were increasingly, and the laparoscopic, choledochoscope and duodenoscope are used by the patients in hepatobiliary surgery. The methods of the treatment for extrahepatic bile duct stone are increasingly, like endoscopic sphincterotomy, endoscopic papillary balloon dilation, endoscopic naso-biliary drainage, laparoscopic trans-cystic common bile duct exploration, laparoscopic common bile duct exploration, laparoscopic bile duct exploration and primary suture, especially the used for combined appliances of three endoscopies. This article draw up to summary the minimally invasive technology in the treatment of extrahepatic bile duct stone and state the research advance.