从胆胰管汇合部疾病分析认识胆石病的内镜治疗  

Analysis and recognition of endoscopic treatment for cholelithiasis from the view of disease of pancreaticobilia junction

作　　者：张诚 杨玉龙 ZHANG Cheng;YANG Yuong(Center of Gallbladder Disease,Shanghai East Hospital,Tongji University,Shanghai 200120,China)

机构地区：[1]同济大学附属东方医院胆石病中心,上海200120

出　　处：《外科理论与实践》2023年第2期119-123,共5页Journal of Surgery Concepts & Practice

基　　金：上海市浦东新区临床特色学科基金(PWYts2021-06)。

摘　　要：胆石病是一种常见病,严重危害人体健康。传统治疗以开腹胆囊切除及胆道探查取石手术为主。随着微创技术的发展,腹腔镜、胆道镜、十二指肠镜等内镜技术已广泛用于胆石病的治疗,但胆漏、结石复发、胆囊切除术后综合征等并发症仍困扰着肝胆外科医师。胆胰管汇合部是指胆总管末端、主胰管开口及十二指肠乳头之间的区域,其中Oddi括约肌控制着胆汁及胰液的排泄。该部位的疾病会影响胆汁及胰液的流速及流向,不仅会导致胆胰疾病,而且与胆石病术后各种并发症的发生密切相关。Cholelithiasis is a common disease,which seriously endangers human health.The traditional treatment mainly depended on open cholecystectomy and biliary tract exploration.With the development of minimally invasive tech-nology,the endoscopic management including laparoscopy,choledochoscopy and duodenoscopy has been widely used in the treatment of cholelithiasis.However,the complications such as bile leakage,stone recurrence and post cholecystectomy syndrome remain plaguing hepatobiliary surgeons.The pancreaticobiliary junction refers to the area among the end of com-mon bile duct,the opening of main pancreatic duct and duodenal papilla,where the Oddi sphincter controls the excretion of bile and pancreatic juice.The disease in this area will affect the flow both rate and direction of bile and pancreatic juice,which produce not only biliary and pancreatic diseases,but also the various complications after surgery for cholelithiasis.

关 键 词：胆石病 胆胰管汇合部疾病 腹腔镜 胆道镜 十二指肠镜 

分 类 号：R657.42[医药卫生—外科学]