复杂胆道结石的微创治疗进展-中国普通外科杂志.PDF

第 26 卷 第 8 期 中国普通外科杂志 Vol.26　No.8 2017 年 8 月 Chinese Journal of General Surgery Aug.　2017 doi: 10.3978/j.issn. 1005-6947.2017.08.014 ·文献综述 · / 10.3978/j.issn. 1005-6947.2017.08.014 Chinese Journal of General Surgery, 2017, 26(8): 1049- 1056. 复杂胆道结石的微创治疗进展 许志峰 综述　李建军 审校 （济宁医学院，山东 济宁 272067） 摘 要 由于病因复杂、手术操作困难，容易残留及复发等原因，复杂胆道结石的处理一直为肝胆外科棘手的 难题。传统术式虽然效果确切，但手术创伤大导致患者恢复慢、术后并发症多等缺点。近年来随着内 镜技术的推广应用，微创技术凭借着创伤小、术后恢复快等优点成为复杂胆道结石治疗的热门方法。 现对复杂胆道结石的微创治疗进展综述，为临床提供参考。 关键词 胆结石 / 治疗；最小侵入性外科手术；综述文献 中图分类号：R657.4 Progress of minimally invasive treatment of complex biliary stones XU Zhifeng, LI Jianjun (Jining Medical University, Jining, Shandong 272067, China) Abstract Due to complex causes and difficult surgical procedures as well as residue and relapse prone, the treatment of complex biliary stones has always been a thorny problem in hepatobiliary surgical practice. Although the traditional surgical procedure off ers demonstrable efficacy, it has shortcomings such as severe surgical trauma that will cause slow recovery and numerous postoperative complications of the patients. With the development and popularization of endoscopic techniques in recent years, minimally invasive approaches have become increasingly prevalent in treatment of complex biliary stones by advantages such as minor trauma