老年胆道外科热点问题的争议与思考  

Controversy and reflection on hot issues of biliary surgery in elderly patients

作　　者：张宗明 董家鸿[3] 何小东[4] 王秋生[5] 徐智[6] 刘立民 张翀 Zhang Zongming;Dong Jiahong;He Xiaodong;Wang Qiusheng;Xu Zhi;Liu Limin;Zhang Chong(Department of General Surgery,Beijing Electric Power Hospital of State Grid Corporation of China,Beijing 100073,China;Key Laboratory of Geriatrics(Hepatobiliary Diseases)of GENERTEC(in preparation),Beijing 100073,China;Hepatobiliary and Pancreatic Center,Beijing Tsinghua Changgung Hospital Affliated to Tsinghua University,Beijing 102218,China;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of General Surgery,Peking University People's Hospital,Beijing 100044,China;Department of General Surgery,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]国家电网公司北京电力医院普通外科,100073 [2]中国通用技术集团老年医学(肝胆)重点实验室(筹),北京100073 [3]清华大学附属北京清华长庚医院肝胆胰中心,102218 [4]中国医学科学院北京协和医院基本外科,100730 [5]北京大学人民医院普通外科,100044 [6]北京大学第三医院普通外科,100191

出　　处：《中华肝脏外科手术学电子杂志》2024年第6期754-762,共9页Chinese Journal of Hepatic Surgery(Electronic Edition)

基　　金：北京市科技重大专项生物医药与生命科学创新培育研究(Z171100000417056);国中康健集团科技项目(GZKJ-KJXX-QTHT-20230626)

摘　　要：随着我国进入深度老龄化社会,老年胆道外科疾病发病率显著升高。针对老年胆道外科疾病患者病程进展快、术前合并疾病多、手术耐受力差、手术风险大、术后并发症多等临床特点,本文从腹腔镜手术指征拓宽、微创手术方式亟待规范、精准肝胆外科技术进步3个方面,就老年胆道外科的热点争议问题进行思考和评述,以期充分认识老年胆道外科疾病有关学术争议焦点,积极利用其有利因素,有效避免其不利因素,从而推动其治疗效果进一步提高,从而造福广大老年胆道外科疾病患者。With China's entry into a deeply aging society,the incidence of biliary diseases in the elderly population has been increased significantly.In terms of the clinical characteristics of biliary diseases in elderly patients,such as rapid disease progression,multiple preoperative complications,poor surgical tolerance,high surgical risk and multiple postoperative complications,the hot controversial issues of biliary diseases in elderly patients were analyzed and elucidated from three perspectives including broadening the indications of laparoscopic surgery,urgently standardizing minimally invasive surgery,and improving the technologies of precision hepatobiliary surgery,aiming to fully understand the academic controversies of biliary diseases in elderly patients,actively utilize positive factors,effectively avoid negative factors,thereby enhancing therapeutic effect and bringing benefits to elderly patients with biliary diseases.

关 键 词：老年 胆道外科 腹腔镜手术 微创手术 精准肝胆外科 3D可视化 3D打印 混合现实技术 吲哚氰绿荧光成像 

分 类 号：R657.4[医药卫生—外科学]