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胆囊胆管结石的单阶段治疗手术：手术方法综述

Single-stage procedure for the treatment of cholecysto-choledocolithiasis: a surgical procedures review.

作者信息

Bove Aldo, Di Renzo Raffaella Maria, Palone Gino, Testa Domenica, Malerba Valentina, Bongarzoni Giuseppe

机构信息

Department of Medicine, Dentistry and Biotechnology, University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy.

出版信息

Ther Clin Risk Manag. 2018 Feb 20;14:305-312. doi: 10.2147/TCRM.S146461. eCollection 2018.

DOI:10.2147/TCRM.S146461
PMID:29503549
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5824758/
Abstract

While laparoscopic cholecystectomy is generally accepted as the treatment of choice for simple gallbladder stones, in cases in which common bile duct stones are also present, clinical and diagnostic elements, along with intraoperative findings, define the optimal means of treatment. All available options must be accessible to the surgical team which must necessarily be multidisciplinary and include a surgeon, an endoscopist, and a radiologist in order to identify the best option for a truly personalized surgery. This review describes the different techniques and approaches used based on distinctive recommendations and factors, according to the specific cases treated and the results achieved.

摘要

虽然腹腔镜胆囊切除术通常被认为是单纯胆囊结石的首选治疗方法，但在同时存在胆总管结石的情况下，临床和诊断因素以及术中发现决定了最佳治疗方法。手术团队必须能够获得所有可用的选择，该团队必须是多学科的，包括外科医生、内镜医师和放射科医生，以便为真正的个性化手术确定最佳选择。本综述根据不同的推荐意见和因素，描述了针对特定治疗病例及取得的结果所采用的不同技术和方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5073/5824758/bb8eaae80718/tcrm-14-305Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5073/5824758/252187b4c701/tcrm-14-305Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5073/5824758/e3a8a7fbbba0/tcrm-14-305Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5073/5824758/b3851ff4c969/tcrm-14-305Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5073/5824758/bb8eaae80718/tcrm-14-305Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5073/5824758/252187b4c701/tcrm-14-305Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5073/5824758/e3a8a7fbbba0/tcrm-14-305Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5073/5824758/b3851ff4c969/tcrm-14-305Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5073/5824758/bb8eaae80718/tcrm-14-305Fig4.jpg

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本文引用的文献

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Does routine intra-operative cholangiography reduce the risk of biliary injury during laparoscopic cholecystectomy? An evidence-based approach.常规术中胆管造影术是否能降低腹腔镜胆囊切除术中胆道损伤的风险？基于循证医学的方法。
J Visc Surg. 2013 Nov;150(5):321-4. doi: 10.1016/j.jviscsurg.2013.06.002. Epub 2013 Jul 30.
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Preoperative factors predicting poor outcomes following laparoscopic choledochotomy: a multivariate analysis study.
2021 年胆石病循证临床实践指南。
J Gastroenterol. 2023 Sep;58(9):801-833. doi: 10.1007/s00535-023-02014-6. Epub 2023 Jul 15.
4
How to choose the most appropriate technique for the single-stage treatment of cholecysto-choledocolithiasis?如何选择最适合的技术用于胆囊胆管结石的一期治疗？
Gastroenterol Rep (Oxf). 2019 Aug;7(4):258-262. doi: 10.1093/gastro/goz022. Epub 2019 Jun 5.
5
Clinical analysis of treatment strategies to cholecystocholedocholithiasis patients with previous subtotal or total gastrectomy: a retrospective cohort study.既往接受过胃大部切除术或全胃切除术的胆囊胆总管结石患者治疗策略的临床分析：一项回顾性队列研究
BMC Surg. 2018 Aug 9;18(1):54. doi: 10.1186/s12893-018-0388-1.
术前因素预测腹腔镜胆总管切开术后不良结局：多因素分析研究。
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