对肝内胆管结石外科治疗的再认识

肝内胆管结石系原发性胆管结石范畴,尽管其发病率有所下降,但因地区不同仍有差别。早期肝内胆管结石采用微创外科技术施行肝切除术治疗是正确选择,应保护Oddi括约肌的功能;但对复杂性肝内胆管结石所致的终末期肝病的外科治疗仍存在诸多问题。应提倡多学科合作医疗模式,进行综合性治疗,并加强肝内胆管结石预防、病因和发病机制等研究,为治疗肝内胆管结石努力探索。

Re-understanding of surgical treatment of intrahepatic bile duct stones

The incidence of intrahepatic bile duct stones as primary cholelithiasis varies in different regions,though it decreases to some ex-tent.Minimally invasive hepatectomy is the correct procedure for treating early intrahepatic bile duct stones.However,there are still many problems concerning the surgical treatment of end-stage liver disease caused by complex intrahepatic bile duct stones.The multidisciplinary mode should be recommended to provide comprehensive treatment,and studies on the prevention,etiology,and pathogenesis of intrahepatic bile duct stones should be strengthened,so as to improve the treatment of intrahepatic bile duct stones.