摘要
肝胆管结石是西南地区常见胆道疾病之一,术后结石复发与残留是影响疗效的关键。规则性肝段或肝叶切除可有效处理肝内结石、狭窄段胆管及发生癌变的潜在病灶。胆管横断胆肠吻合术主要用于处理肝门部胆管狭窄及胆管下端过度通畅。腹腔镜处理区域性肝胆管结石手术效果较为理想,胆道镜可有效降低胆管结石残留率。十二指肠镜治疗肝胆管结石的临床经验有待进一步积累。
Cholelithiasis is one of common diseases in southwest China,postoperative residual stone or stone recurrence remained a challenge.Regular partial hepatectomy and hepatic segment resection is effective to cure intrahepatic bile duct stones,strictural bile duct and potential carcinogenesis lesions.Combined common bile duct transection and choledochojejunostomy is an effective procedure for hilar strictural bile duct and laxative pathological changes of Oddi＇s sphincter.LC is an ideal method for treating local cholelithiasis.Cholangioscopy could reduce the recurrence of residual duct stones.Clinical experience with ERCP in the treatment of cholelithiasis needs further investigation.
出处
《中华普外科手术学杂志（电子版）》
2012年第4期7-9,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
胆结石
胆管疾病
胆道外科手术
Cholelithiasis
Bile duct diseases
Bieiary tract surgical procedures
