外科理论与实践2025，Vol.30Issue(2)：120-124,5.DOI:10.16139/j.1007-9610.2025.02.05
胆管树理念在肝内胆管结石微创手术中的应用
Application of the bile duct tree concept in minimally invasive surgery for intrahepatic bile duct stones
摘要
Abstract
Intrahepatic bile duct stones,as a prevalent disease in the field of hepatobiliary surgery in China,present multiple challenges in clinical management.The core factors contributing to stone retention and recurrence lie in the practical difficulties of implementing traditional anatomic hepatectomy and the limited efficacy in correcting biliary strictures.In response to this clinical dilemma,the specialty of biliary surgery has progressively developed a precise and minimally invasive resection concept guided by three-dimensional hepatic venous anatomy combined with lesioned bile duct tree distribution patterns.At the technical implementation level,it is imperative to establish a standardized operative system encompassing laparoscopic precision parenchymal transection,hilar bile duct plastic reconstruction,along with auxiliary techniques such as intraoperative ultrasound,indocyanine green fluorescence staining guidance,and multi-endoscopic combined stone extraction approaches.关键词
胆石症/肝脏疾病/胆管树/腹腔镜技术Key words
Hepatolithiasis/Liver diseases/Bile duct tree/Laparoscopic technique分类
医药卫生引用本文复制引用
李敬东,黄徐建,李强,朱建交..胆管树理念在肝内胆管结石微创手术中的应用[J].外科理论与实践,2025,30(2):120-124,5.基金项目
四川省科技计划项目(2024YFHZ0052) （2024YFHZ0052）
