腹腔镜肝切除术治疗肝胆管结石病的研究进展  

Research progress of laparoscopic hepatectomy for hepatolithiasis

作　　者：郑进方[1] 谭逢武 王雨 许达峰[1] 王开琼[1] 陈劲松[1] Zheng Jinfang;Tan Fengwu;Wang Yu;Xu Dafeng;Wang Kaiqiong;Chen Jinsong(Department of Hepatopancreatobiliary Surgery,Hainan Affiliated Hospital of Hainan Medical University(Hainan General Hospital),Haikou 570311,China;Geriatric Center,Hainan Affiliated Hospital of Hainan Medical University(Hainan General Hospital),Haikou 570311,China)

机构地区：[1]海南医科大学附属海南医院(海南省人民医院)肝胆胰外科,海口570311 [2]海南医科大学附属海南医院(海南省人民医院)老年医学中心,海口570311

出　　处：《中华消化外科杂志》2024年第12期1484-1490,共7页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金(82160472);海南省重点研发项目(ZDYF2022SHFZ131);海南省临床医学研究中心项目(LCYX202208、LCYX202407)。

摘　　要：近年来,随着我国肝胆管结石病微创治疗技术的发展和对其病理机制的深入了解,以及精准外科理念和数字医学技术的融入,微创外科治疗该病逐步规范化和精准化。以腹腔镜肝切除术为代表的微创手术已经成为治疗肝胆管结石病的重要手段之一。通过不断积累手术经验、提升操作技术以及器械设备的推陈出新,腹腔镜肝切除术对肝胆管结石病的治疗效果达到新高度。笔者回顾相关文献并结合团队临床实践经验,探讨腹腔镜肝切除术治疗肝胆管结石病的进展情况,以期为临床医师提供更全面和深入的参考,从而改善患者的预后和生命质量。In recent years,with the progress of minimally invasive treatment technology of hepatolithiasis in China,as well as the in-depth understanding of the pathological mechanism of hepatolithiasis and the integration of precision surgery concept and digital medical technology,minimally invasive surgery has gradually presented standardization and precision in the treatment of hepatolithiasis.Laparoscopic hepatectomy,as a representative of minimally invasive surgery,has become one of the most important means to treat hepatolithiasis.With the continuous accumulation of surgery,the improvement of operation technology and the innovation of instruments and equipment,laparoscopic hepatectomy has reached a new height in the treatment of hepatolithiasis.Combined with the clinical practice of the team,the authors review the relevant literature and explore the progress of laparoscopic hepatectomy in the treatment of hepatolithiasis,in order to provide clinicians with a more comprehensive and in-depth treatment reference,so as to improve the prognosis and quality of life of patients.

关 键 词：胆道疾病 肝胆管结石病 肝切除术 研究进展 手术 疗效 腹腔镜检查 

分 类 号：R657.4[医药卫生—外科学]