应用腹腔镜技术治疗复杂肝胆管结石病的难点及对策OA北大核心CSTPCD

In recent years,with the advancement of laparoscopic technology and the in-depth understanding of the clinicopathological characteristics of hepatolithiasis,especially the integration of concepts and technologies such as precision surgery,digital medicine,and accelerated recovery surgery,the laparoscopic surgical treatment of hepatolithiasis has gradually become standardized and precise.At present,although there are some difficulties and controversies in the application of laparoscopic technology in the treatment of complex hepatolithiasis,it is generally safe and feasible,and has certain short-term advantages and wide application prospects.The key to the success of the operation is the correct selection of surgical indications,comprehensive and detailed preoperative evaluation,and surgical planning,taking the concept of precise diseased bile duct tree territory resection as the core,following the standardized surgical procedures,mastering the techniques of laparoscopic liver resection,hilar bile duct plastic-anastomosis and choledochoscopy stone removal,and reasonably selecting and applying intraoperative ultrasound,ICG fluorescence staining,augmented/mixed reality and other auxiliary technologies.