摘要
近年来,在肝内胆管结石治疗中,以腹腔镜及胆管镜技术为代表的微创方法逐渐成熟。腹腔镜下肝切除术为患者提供了微创治疗条件,主要适应证:左肝和右肝前叶病变。胆管镜的临床应用,为肝内胆管残余结石提供了有效的治疗手段。腹腔镜下胆总管切开留置"T"管为术后纤维胆管镜下经"T"管取石术创造了微创治疗的保障。经皮、经肝及皮下盲襻纤维胆管镜治疗肝内胆管残余结石以及各种腔内碎石取石术也为肝内胆管结石患者提供了补救治疗的手段。
In recent years, inrasive methods such as laparoscopic and Choledochoscope technology developed into maturity in the treatment of intrahepatic bile duct stones. The main indications of Laparoscopic hepatectomy was suggested to be left before the liver and right hepatic lesions in the minimally invasive treatment of patients with the conditions. The clinical application of Choledochoscope for intrahepatic bile duct stones residual provide an effective treatment. After laparoscopic conunon bile duct exploration,indwening ＂T＂ supply the bile duct endoscopic fiber a minimally invasive treatment＂ for the ＂T＂ of the stones. The skin, liver and the subeutaneous blind loop fiber in the treatment of intrahepatic biliary stonesM, as well as residual cavity with gravel stones for intrahepatic bile duct stones provided a means of redress.
出处
《医学综述》
2008年第4期609-610,共2页
Medical Recapitulate
关键词
胆内胆管结石
微创
胆管镜
腹腔镜
Hepatolithiasis
Minimally invasive
Choledochoscope
Laparoscope
