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胆总管结石的个体化内镜与微创外科治疗策略

祁春晖 朱晓亮 黄楚钧 吕鹏飞 柴长鹏 盛亮 苗龙 王正峰 岳平 朱克祥

兰州大学学报(医学版)2025,Vol.51Issue(12):77-84,8.
兰州大学学报(医学版)2025,Vol.51Issue(12):77-84,8.DOI:10.13885/j.issn.2097-681X.2025.12.011

胆总管结石的个体化内镜与微创外科治疗策略

Individualized therapeutic strategies of endoscopy and minimally invasive surgery for common bile duct stones

祁春晖 1朱晓亮 1黄楚钧 2吕鹏飞 1柴长鹏 1盛亮 2苗龙 1王正峰 2岳平 1朱克祥2

作者信息

  • 1. 兰州大学 第一临床医学院,甘肃 兰州 730000
  • 2. 兰州大学第一医院 普外科,普通外科国家临床重点专科,精准医学实验室,甘肃省生物治疗与再生医学重点实验室,甘肃省肝胆胰外科研究所,甘肃省普通外科临床医学研究中心,甘肃 兰州 730000
  • 折叠

摘要

Abstract

Clinical management of common bile duct stones requires stratified treatment system based on stone characteristics,anatomical conditions,and patient status.This article systematically elucidated the core therapeutic principles for different clinical subtypes(gallbladder with common bile duct stones,isolated com-mon bile duct stones,difficult stones,and high-risk cases),proposing an individualized decision-making framework stratified by stone size,anatomical complexity,and surgical risk.The study aimed to establish a theoretical foundation and practical guidance for reducing postoperative complications,enhancing treatment success rates,and improving clinical decision-making precision.The content strictly adhered to the editorial requirements of the Chinese medical association,with terminology standardization and evidence grading in accordance with current domestic guidelines.

关键词

胆总管结石/胆囊结石/内镜下逆行胰胆管造影术/腹腔镜胆囊切除术/腹腔镜胆囊切除联合胆总管切开取石术/内镜下乳头括约肌球囊扩张术

Key words

calculus of common bile duct/gallstones/endoscopic retrograde cholangiopancreatography/lapa-roscopic cholecystectomy/laparoscopic common bile duct exploration/endoscopic papillary balloon dilation

分类

医药卫生

引用本文复制引用

祁春晖,朱晓亮,黄楚钧,吕鹏飞,柴长鹏,盛亮,苗龙,王正峰,岳平,朱克祥..胆总管结石的个体化内镜与微创外科治疗策略[J].兰州大学学报(医学版),2025,51(12):77-84,8.

基金项目

国家重点研发计划资助项目(2022YFC2503602) (2022YFC2503602)

甘肃省科技计划资助项目(24JRRA909,23JDKA0004) (24JRRA909,23JDKA0004)

兰州大学学报(医学版)

2097-681X

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