Hoffmann R, Ammann R, Müller M, Largiadèr F
Abteilung Gastroenterologie Dept. Innere Medizin, Universitätsspital, Zürich.
Schweiz Med Wochenschr. 1991 Jul 20;121(29):1043-8.
The increasing number of therapeutic modalities and growing experience in the treatment of gallstones involve continuous changes in the indications and contraindication of each method. The advantages of the conservative, non-surgical and interventional procedures are that patients can become free of symptoms and stones without the use of general anaesthesia or surgery, however, there is the risk of recurrence. On the other hand, invasive surgical methods provide a definitive solution to the problem by removal of the focus, eliminating the risk of recurrent disease. To our opinion, it is important to offer as many therapeutic modalities possible to be selected as individual treatment by patients and physicians.
治疗胆结石的方法越来越多，治疗经验也不断增加，这使得每种方法的适应症和禁忌症都在持续变化。保守、非手术和介入治疗方法的优点是患者无需全身麻醉或手术即可摆脱症状和结石，然而，存在复发的风险。另一方面，侵入性手术方法通过去除病灶为问题提供了确定性解决方案，消除了疾病复发的风险。我们认为，为患者和医生提供尽可能多的治疗方式以供选择作为个体化治疗非常重要。
