中国普通外科杂志2025，Vol.34Issue(2)：238-244,7.DOI:10.7659/j.issn.1005-6947.250033
对肝内胆管结石规范性治疗的认识与思考
Understanding and reflection on the standardized treatment of hepatolithiasis
摘要
Abstract
The difficult radical cure of intrahepatic bile duct stones is attributed to their tendency to leave residues and recur.Therefore,it is crucial to raise awareness of the importance of standardized treatment.The inability to perform true anatomical liver resection and effectively correct bile duct stenosis are the root causes of stone retention and recurrence.Precise and comprehensive preoperative assessment is the prerequisite for standardized treatment.Attention should be focused on evaluating the distribution of stones,biliary strictures,the function of the Oddi sphincter,as well as the anatomical variations of the hepatic artery,bile duct,and portal vein.Therefore,the author proposed the LHO classification and CRL classification to guide decision-making.High-quality and meticulous surgery is the core of standardized treatment.Timely and correct management of complications and standardized postoperative follow-up throughout the process are the guarantee and continuation of standardized treatment.By integrating various techniques such as perihilar surgical techniques,and strictly adhering to the"removing lesions,removing all stones,correcting strictures,and ensuring unobstructed drainage"principle,standardized treatment can improve the safety and effectiveness of the treatment of intrahepatic bile duct stones,reducing the stone retention and recurrence rates.关键词
胆石症/胆管,肝内/规范性治疗/围肝门外科技术Key words
Cholelithiasis/Bile Ducts,Intrahepatic/Standardized Treatment/Perihilar Surgical Techniques分类
医药卫生引用本文复制引用
王坚..对肝内胆管结石规范性治疗的认识与思考[J].中国普通外科杂志,2025,34(2):238-244,7.基金项目
国家自然科学基金资助项目(82273411). （82273411）
