Division of Hepatobiliary, Pancreatic, and Gastrointestinal Surgery, Washington University School of Medicine, 660 South Euclid Avenue Box 8109, St Louis, MO 63110, USA.
Surg Clin North Am. 2019 Apr;99(2):245-258. doi: 10.1016/j.suc.2018.11.005. Epub 2019 Feb 10.
Laparoscopic cholecystectomy has revolutionized the field of surgery, and is currently the gold standard in the treatment for symptomatic cholelithiasis. The goal of every laparoscopic cholecystectomy should be attainment of the critical view of safety before cutting the cystic duct and artery to reduce the risk of bile duct injury. Open cholecystectomy is most commonly performed when laparoscopic cholecystectomy is converted to open or when laparoscopic cholecystectomy is contraindicated. Robotic cholecystectomy is a safe alternative to conventional laparoscopic cholecystectomy, and follows the same basic operative principles.
腹腔镜胆囊切除术彻底改变了外科领域，目前是治疗有症状胆石症的金标准。每一例腹腔镜胆囊切除术的目标都应该是在切断胆囊管和动脉之前达到安全关键视野，以降低胆管损伤的风险。当腹腔镜胆囊切除术转为开放性手术或禁忌腹腔镜胆囊切除术时，通常会进行开放性胆囊切除术。机器人胆囊切除术是传统腹腔镜胆囊切除术的一种安全替代方法，遵循相同的基本手术原则。
