Martí Cruchaga P, Valentí V, Pastor C, Poveda I, Zozaya G, Rotellar F
Departamento de Cirugía General, Clínica Universitaria de Navarra, Pamplona.
An Sist Sanit Navar. 2005;28 Suppl 3:61-6.
The following article briefly sets out the possible new protocols that can be applied in biliary pathology, arising from the changes brought about by the appearance of new techniques of laparoscopic biliary surgery. It offers a synthesis of the latest and most novel articles on surgical technique and management in different biliary pathologies such as choledocholithiasis and cholecystitis. It can be concluded that management will differ greatly, depending on the technical capacities of the centre that is called upon to deal with one of these pathologies. A standard protocol for everybody cannot thus be established at present. The differences between endoscopic retrograde cholangiopancreatography and intraoperative laparoscopic cholangiography have still to be demonstrated, it is not possible to make generalisations about whether one technique is more useful than the other. The same could be said about whether access to the main biliary path should be achieved through the cystic conduct or whether, on the contrary, a choledochotomy should be performed.
以下文章简要阐述了由于腹腔镜胆道手术新技术的出现所带来的变化，可能应用于胆道病理学的新方案。它综合了关于不同胆道疾病（如胆总管结石和胆囊炎）的手术技术及管理的最新和最新颖的文章。可以得出结论，管理方式将因负责处理这些疾病之一的中心的技术能力而有很大差异。因此，目前无法为所有人制定标准方案。内镜逆行胰胆管造影术和术中腹腔镜胆管造影术之间的差异仍有待证明，无法一概而论地说一种技术比另一种技术更有用。关于进入主要胆道途径是应通过胆囊管道还是相反地进行胆总管切开术，情况也是如此。
