Bove Aldo, Di Renzo Raffaella Maria, Palone Gino, Testa Domenica, Malerba Valentina, Bongarzoni Giuseppe
Department of Medicine, Dentistry and Biotechnology, University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy.
Ther Clin Risk Manag. 2018 Feb 20;14:305-312. doi: 10.2147/TCRM.S146461. eCollection 2018.
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.
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。