三入路理论体系指导下的胆系结石病微创治疗研究进展  

Research progress of minimally invasive treatment of cholelithiasis guided by“three-approach”theory

作　　者：周华波[1] 李广阔 何伊嘉 里越 尹思能[1] 陈安平[1] ZHOU Huabo;LI Guangkuo;HE Yijia;LI Yue;YIN Sineng;CHEN Anping(Department of Hepatobiliary Surgery,Chengdu Second People's Hospital,Chengdu 610000,China)

机构地区：[1]四川省成都市第二人民医院肝胆外科,四川成都610000

出　　处：《中国普通外科杂志》2021年第2期228-235,共8页China Journal of General Surgery

摘　　要：结石病是我国胆道系统疾病中占比最高的病种。它具有病情复杂、容易复发、根治困难、并发症多等临床特点。其晚期更可出现胆汁性肝硬化、门静脉高压及肝内外胆管癌等终末期胆道病变,成为肝胆外科长期难以攻克的难题。近年来,各种微创手术治疗胆系结石的报道越来越多,以腹腔镜和内镜为代表的微创技术发展为这一疾病治疗开辟了新纪元。笔者结合自己团队的经验及相关文献资料就新时期三入路理论统领下胆系结石的微创诊疗体系化建设及发展作一简要的综述。Stone disease accounts for the highest proportion among the disorders of the biliary system in our country.It is characterized by complex pathologies,high relapse rates,low cure rates and multiple complications.In its advanced stage,the end-stage biliary disease such as biliary cirrhosis,portal hypertension and intrahepatic cholangiocarcinoma may occur,so it has long been an intractable problem in the fi eld of hepatobiliary surgery.In recent years,there are increasing reports of using various minimally invasive procedures in the treatment of cholelithiasis,and the development of minimally invasive techniques represented by laparoscopy and endoscopy has opened up a new era for the treatment of this condition.Here,the authors present a review of the systemaltization and progress of minimally invasive management of cholelithiasis guided by the“three-approach”theory in the new period based on the experience of our own team and related literature.

关 键 词：胆石症 最小侵入性外科手术 综述 

分 类 号：R657.4[医药卫生—外科学]