Department of Gastroenterology and Endoscopy, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, China.
Turk J Gastroenterol. 2024 Sep 2;35(9):681-689. doi: 10.5152/tjg.2024.24149.
Acute cholecystitis, cholelithiasis, and gallbladder polyps represent the most gallbladder benign diseases. Endoscopic approaches for the management of these diseases were an alternative to standard laparoscopic cholecystectomy. These endoscopic approaches include transpapillary approaches via endoscopic retrograde cholangiopancreatography, transmural access approaches via endoscopic ultrasound, and endoscopic surgical approaches using natural orifice transluminal endoscopic surgery approaches. However, it's still uncertain which approach is associated with the superior clinical outcomes due to the lack of high-level evidence. Our review provides new insight into the endoscopic approaches for the management of gallbladder benign diseases, with the latest evidence included.
急性胆囊炎、胆石症和胆囊息肉是最常见的胆囊良性疾病。这些疾病的内镜治疗方法是替代标准腹腔镜胆囊切除术的一种选择。这些内镜治疗方法包括经内镜逆行胰胆管造影的经乳头途径、经内镜超声的经壁途径，以及使用自然腔道内镜手术途径的内镜手术途径。然而，由于缺乏高级别的证据，哪种方法与更好的临床结果相关仍不确定。我们的综述提供了一个新的视角，探讨了最新证据支持的胆囊良性疾病的内镜治疗方法。
