摘要
Abstract
Occult common bile duct stones have no clinical symptoms and if it is not diagnosed or treated in time, it can cause unexplained abdominal pain after cholecystectomy or serious complications such as biliary pancreatitis and acute cholangitis, which may threaten patients′ lives.Proper diagnosis and treatment modalities can reduce postoperative complications, save medical resources, and reduce medical disputes.This article introduces the latest advances in the diagnosis and treatment of occult common bile duct stones, including the features and diagnostic efficacy of imaging examinations (abdominal ultrasound, computed tomography, magnetic resonance cholangiopancreatography (MRCP), endoscopic ultrasonography, endoscopic retrograde cholangiopancreatography (ERCP), intraoperative cholangiography, intraoperative laparoscopic ultrasonography, intraductal ultrasonography, and intraoperative choledochoscopy), as well as the effect of treatment modalities (endoscopic sphincterotomy (EST), laparoscopic common bile duct exploration (LCBDE), open common bile duct exploration, endoscopic papillary balloon dilatation, electrohydaulic lithotripsy, extracorporeal shockwave lithotripsy, litholysis, and laser lithotripsy).It is pointed out that the diagnosis and treatment of occult common bile duct stones should be treated differently according to risk stratification.Endoscopic ultrasonography or MRCP should be performed for patients with moderate risks or above, and their results are critical to the choice of surgical procedure.For treatment modality, LCBDE or ERCP/EST should be selected according to patients′ actual conditions.关键词
胆总管结石/诊断/治疗/综述Key words
choledocholithiasis/diagnosis/therapy/review分类
医药卫生
