胆道外科难点问题探析  

Exploration of difficult issues in biliary tract surgery

作　　者：王健东[1] 全志伟[1] Wang Jiandong;Quan Zhiwei(Department of General Surgery,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院普通外科,上海200092

出　　处：《中华消化外科杂志》2024年第7期901-905,共5页Chinese Journal of Digestive Surgery

基　　金：上海市2021年度“科技创新行动计划”医学创新研究专项(21Y11912400)。

摘　　要：我国胆道外科的发展与胆道疾病谱的变化以及治疗措施的提升密切相关。虽然在学术研究、硬件条件、治疗模式及手术技术等方面都取得了巨大进步,但依然存在诸多难点问题,涉及胆道良性疾病和胆道恶性肿瘤临床工作的多个层面,比较突出的问题是胆道良性疾病的诊断与治疗规范、复杂肝内外胆管结石的处理范式、提高医源性胆管损伤的预防与处理效果以及胆道恶性肿瘤的综合治疗理念。笔者认为:必须及时更新治疗模式、规范疾病处置流程和手术技术标准,并将其运用于临床工作的各个环节,才能从根本上解决我国胆道外科面临的难题。The development of biliary tract surgery in China is closely related to the changes in the spectrum of biliary tract diseases and the improvement of treatment measures.Although significant progress has been made in academic research,hardware conditions,treatment modes,and surgical techniques,there are still many challenging issues that involve multiple levels of clinical work for benign and malignant biliary tract diseases.The most prominent issues are the diagnosis and treatment standards for benign biliary tract diseases,the management paradigm for complex intrahepatic and extrahepatic calculus of bile duct,improving the prevention and treatment effects of iatrogenic bile duct injury,and the comprehensive treatment concept for malignant biliary tract tumor.The authors believe that it is necessary to timely update the treatment mode,standardize the disease management process and surgical technical standards,and apply them to various aspects of clinical work in order to fundamentally solve the difficulties faced by biliary tract surgery in China.

关 键 词：胆道良性疾病 胆道恶性肿瘤 肝胆管结石 胆管损伤 综合治疗 

分 类 号：R657.4[医药卫生—外科学]