From the Department of Surgery (F.H.), NYU Langone Health, Brooklyn, New York; and Department of Surgery (M.B.), Bellevue Hospital Center, New York, New York.
J Trauma Acute Care Surg. 2023 Dec 1;95(6):832-838. doi: 10.1097/TA.0000000000004128. Epub 2023 Sep 12.
Choledocholithiasis is a common presentation of symptomatic cholelithiasis encountered by the acute care surgeon. There is a wide spectrum of variation in management of this disease due to evolutions in laparoscopic and endoscopic techniques. Intricacies in management are related to the timing of diagnosis as well as locally available imaging modalities, surgical expertise, and ancillary advanced endoscopy and interventional radiological support. While individual patient demographics and institutional characteristics will determine management of choledocholithiasis, it is incumbent for the treating surgeon to be well versed in all manners of therapy currently available. The objective of this review is to provide an evidence-based summary of the contemporary management of choledocholithiasis.
胆总管结石是急性外科医生遇到的有症状胆石症的常见表现。由于腹腔镜和内镜技术的发展,这种疾病的治疗方法有很大的变化。由于诊断时间以及当地可用的影像学方式、手术专业知识以及辅助性的高级内镜和介入放射学支持的不同,管理的复杂性也有所不同。虽然个体患者的人口统计学和机构特征将决定胆总管结石的治疗方法,但治疗外科医生必须精通目前所有可用的治疗方法。本综述的目的是提供一个基于证据的当代胆总管结石处理方法的总结。