摘要
LC开创了我国微创外科之先河.作为该领域的领航者,我国胆道外科学者在胆道疾病的微创化治疗方面从未停下创新的步伐.特别是近年来随着腹腔镜、胆道镜、十二指肠镜技术的同步发展和大力推广,胆道外科已开启了微创化新纪元.但是,技术水平参差不齐、发展不均衡、胆道高难度手术尚待进一步突破等问题提示我们在欢欣之余,更需要冷静思考.特别是,狂热追求微小手术入路、选择不适当的微创手术方式、忽视微创手术额外损伤等理念上的偏差已成为胆道微创外科健康成长的心腹大患,其中的典型代表就是在治疗中忽视十二指肠Oddi括约肌的重要生理功能.
The concept of minimally invasive surgery isadopted in the diagnosis and treatment of biliary diseases, while during the process, the biological function of the sphincter of Oddi is ignored, and blind expansion of indications of endoscopic sphincterotomy （EST） severely affected the function of the sphincter of Oddi. In this condition, protection of the sphincter of Oddi should be attached great importance. Proper selection of diagnosis method, strictly control of the indications of EST, timely repair the injured sphincter of Oddi are important for a better prognosis of patients with biliary diseases with preservation of the function of the sphincter of Oddi.
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2012年第5期405-407,共3页
Chinese Journal of Digestive Surgery
基金
国家科技支撑计划项目（2012BA106801）
关键词
胆道疾病
微创
ODDI括约肌
Biliary diseases
Minimal invasion
Sphincter of Oddi
