胆囊结石合并胆总管结石微创治疗的临床进展
Clinical Progress of Minimally Invasive Treatment of Cholecystolithiasis Combined with Choledocholithiasis
摘要: 胆囊结石合并胆总管结石是我国较为常见的胆道系统疾病，约占胆石症患者的11%~30%。目前手术仍是最主要的治疗手段。随着近些年微创技术的发展，微创治疗该病已逐渐取代传统手术；腹腔镜、胆道镜及十二指肠镜，以“损伤小、康复快、残石率低、预后好”等优势越来越多地应用于该疾病。近年开展的ERCP联合LC以及胆道镜、内镜、腹腔镜三镜联合、机器人取石等更使得胆总管结石的微创治疗充满了无限遐想。本文就胆囊结石合并胆总管结石微创治疗技术的现状及发展情况做一总结。
Abstract: Cholecystolithiasis combined with choledocholithiasis is a common biliary tract disease in our country, accounting for about 11%~30% of patients with cholelithiasis. Surgery is still the primary treatment. With the development of minimally invasive techniques in recent years, minimally inva-sive treatment has gradually replaced traditional surgery. Laparoscopy, choledochoscope and duo-denoscope are increasingly used in this disease for their advantages of “little damage, fast recovery, low residual stone rate and good prognosis”. In recent years, the combination of ERCP and LC, the combination of choledochoscope, endoscope and laparoscope, and robotic lithotomy have made the minimally invasive treatment of choledocholithiasis full of infinite ideas. This article summarizes the current status and development of minimally invasive techniques for cholecystolithiasis com-bined with choledocholithiasis.
文章引用：赵东豫, 霍峥, 李笑, 李晨瑞, 刘林勋. 胆囊结石合并胆总管结石微创治疗的临床进展[J]. 临床医学进展, 2023, 13(5): 7191-7196. https://doi.org/10.12677/ACM.2023.1351005

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