肝胆管结石相关胆道狭窄外科处理策略
Surgical management of biliary stricture related with hepatolithiasis
李云峰 1朱斯维 1尹新民1
作者信息
- 1. 湖南省人民医院(湖南师范大学第一附属医院)肝胆外科,湖南长沙 410005
- 折叠
摘要
肝胆管结石病多数伴有胆道狭窄,其治疗方式主要为肝切除术和胆管整形.技术手段包括开放手术、腹腔镜或机器人辅助手术以及内镜治疗等.肝胆管结石相关胆道狭窄的处理须在对病情进行全面评估的基础之上,根据不同治疗方式各自的优势和特点,个体化选择处理策略.推荐采用"P点"和"U点"来判断胆管狭窄位置是否适宜行切开整形,胆管拼合成形推荐采用"尹氏胆管成形法".
Abstract
Hepatolithiasis is often accompanied by biliary stricture.Treatment methods include liver resection,biliary dilatation & plasty,and so on.Techniques choices include open surgery,laparoscopic surgery,robotic-assisted surgery,and endoscopic manipulation,each has its unique advantage.Management of hepatolithiasis-related biliary stricture should be individualized based on a full evaluation of the patient's condition.The sentence here recommends two surgical assessments and techniques for determining the suitability of performing a choledochoplasty,specifiically the"P point"and"U point"for judging the location of biliary stricture and the"Yin's choledochoplasty"as the preferred method for reconstructing and forming the bile duct.
关键词
肝胆管结石病/胆道狭窄/开放手术/腹腔镜/机器人辅助手术/内镜Key words
hepatolithiasis/biliary stricture/open surgery/laparoscopy/robotic-assisted surgery/endoscopy引用本文复制引用
基金项目
湖南省卫生健康委卫生科研课题立项项目(D202304016971)
出版年
2024
国家科技期刊平台
NSTL
万方数据