摘要
随着纤维十二指肠镜、胆道镜以及腹腔镜技术的广泛应用,多镜联合治疗胆管结石已经日趋成熟,成为传统治疗技术的有益补充。拟采用微创技术治疗的病人,更应对其病情进行全面的了解,准确进行术前评估。无论采用何种治疗方式,都必须严格遵守"祛除病灶、解除梗阻、取尽结石、通畅引流"的治疗原则。每一位外科医生都应该努力掌握微创技术,以便统览全局,为病人制定出有效、微创的"个体化"治疗方案。在遇到无法解决的困难时,术者应及时改变治疗策略,甚至中转开腹手术,避免胆道损伤。
With the maturity of fiber duodenoscope, choledochoscope and laparoscopic technique, the hybrid minimally invasive surgery has been more and more popular in the therapy of bile duct stone, and became useful alternative procedure to the treatment： For the patients to be treated by the minimally invasive technique, the preoperatively accuate assessment and comprecensive planning are very important. No matter what procedure would be used, it must obey the following principles： eliminating lesions, relieving obstruction, clearing stones and expediting drainage. Every surgeon should master the all these techniques, in order to plan an effective, minimally invasive and individualized treatment, meanwhile to try to avoid iatrogenic bile duct injure.
出处
《中国实用外科杂志》
CSCD
北大核心
2009年第7期563-565,共3页
Chinese Journal of Practical Surgery
关键词
微创外科
胆道结石
minimally invasive surgery
bile duct stone
