肝胆管结石多次胆道术后再手术对策OA北大核心CSTPCD

Hepatobiliary duct stone disease is characterized by a high residual rate,high recurrence rate,and high incidence of complications.Due to the distinctiveness of hepatobiliary stones and inappropriate initial treatment measures or iatrogenic injuries,a significant number of patients require multiple surgical interventions.The complexity of the reoperation and the incidence of postoperative complications are significantly higher than those of the initial surgery.The main treatment for hepatobiliary duct stone disease is surgical,including traditional open surgery,laparoscopic surgery,and robot-assisted surgery.The surgical methods are diverse,including cholangiotomy for stone removal,hepatectomy,repair and reconstruction of biliary stricture,internal biliary-intestinal drainage,and even liver transplantation.In addition,digestive endoscopy and percutaneous transhepatic cholangioscopy(PTCS)serve as effective supplements to the above treatments,contributing to improve therapeutic outcomes.