胆总管结石外科治疗的研究进展

胆囊结石是消化系统较常见的疾病，近年来，由于饮食水平和日常生活习惯的改变，胆结石在世界范围内的发病率逐渐上升。胆总管结石最初可在原位形成，主要由感染和胆汁淤滞引起，也可继发于胆囊结石或肝内胆管结石。症状性胆囊结石患者的标准治疗方式是腹腔镜胆囊切除术。然而，对于合并有胆总管结石的患者，开腹手术、腹腔镜联合胆道镜、腹腔镜联...

Progress in the treatment of cholecystolithiasis combined with choledocholithiasis

Cholecystolithiasis is a common disease of the digestive system.In recent years,due to the changes in diet and daily living habits,the incidence of cholecystolithiasis in the world is rising gradually.Choledocholithiasis can form initially in situ,mainly due to infection and cholestasis,but also secondary to cholecystolithiasis or intrahepatic bile duct stones.Symptomatic gallstone disease in patients with laparoscopic cholecystectomy is the standard treatment.However,for patients with common bile duct calculi,traditional open surgery,laparoscopic combined choledochoscope,laparoscopic combined endoscopic and laparoscopic combined laser lithotripsy are all effective ways of treatment.But which one specific operation method is the best choice has yet to agree a consensus.In this paper,several different surgical treatment methods of common bile duct calculi are reviewed in order to provide certain reference value for clinical practice.