肝胆管结石病的诊治原则

肝胆管结石病在我国是常见病。诊断主要是在临床表现基础上结合影像学检查,超声、CT和磁共振常联合使用。肝胆管结石病的治疗是普通外科良性疾病中的难题,手术是治疗肝胆管结石病的主要手段,基本原则是去除病灶、取尽结石、矫正狭窄、通畅引流、防治复发。随着微创外科迅猛发展,腹腔镜治疗肝胆管结石病也日趋成熟。运用影像学手段术前精确评估,制定个体化治疗方案,才能为肝胆管结石病患者带来最佳治疗。

Principles of diagnosis and treatment for hepatolithiasis

Hepatolithiasis is a common disease in China .The diagnosis is mainly based on clinical manifestations in combination with imaging examination in which ultrasound , computed tomography and magnetic resonance imaging are often used together .Treatment for hepatolithiasis is still one of the most difficult problems in general surgery for benign disease . Surgical treatment is the main method for hepatolithiasis , following the basic principles which include "Removing lesions , cleaning stones , correcting strictures, recovering the drainage and preventing the recurrence".With the rapid development of minimally invasive surgery , laparoscopic treatments for hepatolithiasis are applied more and more frequently .Accurate preoperative assessment with imaging examination and making individualized strategy could bring the best treatment for hepatolithiasis .