经皮经肝胆道镜碎石取石术治疗肝胆管结石的价值

刘新文; 程瑶; 龚建平

doi:10.3969/j.issn.1001-5256.2019.07.048

经皮经肝胆道镜碎石取石术治疗肝胆管结石的价值

DOI: 10.3969/j.issn.1001-5256.2019.07.048

重庆市云阳县人民医院普外二科
重庆医科大学附属第二医院肝胆外科

基金项目:

重庆市科卫联合医学科研面上项目资助(2018MSXM132)；

详细信息

中图分类号: R657.42
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出版历程
- 收稿日期: 2019-01-21
- 出版日期: 2019-07-20

Value of percutaneous transhepatic choledochoscopic lithotripsy in treatment of hepatolithiasis

Second Department of General Surgery, Yunyang People's Hospital

Research funding:

摘要

摘要: 肝胆管结石是我国常见的一种胆道良性疾病。肝胆管结石的治疗很困难,一些复杂的肝胆管结石患者经历反复多次手术治疗仍难以获得满意效果,如何提高肝胆管结石的治疗效果是胆道外科医生所面临的重大难题。目前外科手术仍是治疗肝胆管结石的主要手段。经皮经肝胆道镜碎石取石术作为一种微创手术治疗肝胆管结石受到不少胆道外科医生和肝胆管结石患者的青睐,并且逐渐占据肝胆管结石治疗的一席之地。对经皮经肝胆道镜碎石取石术治疗肝胆管结石方面的进展进行综述。
- 肝胆管结石 /
- 碎石术 /
- 精准医学
Abstract: Hepatolithiasis is a common benign biliary disease in China. It is a challenge to treat hepatolithiasis. Some patients with complicated hepatolithiasis fail to achieve satisfactory outcomes after several biliary operations, and therefore, how to improve the treatment outcome of hepatolithiasis is a major problem for biliary surgeons. At present, surgery is still the main treatment method for hepatolithiasis. Percutaneous transhepatic choledochoscopic lithotripsy ( PTCSL) , as a minimally invasive surgical treatment for hepatolithiasis, has been accepted by many biliary surgeons and patients with hepatolithiasis and gradually gains a place in the treatment of hepatolithiasis. This article reviews the research advances in PTCSL in the treatment of hepatolithiasis.
- percutaneous transhepatic choledochoscopic lithotripsy /
- lithotripsy /
- precision medicine

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参考文献(30)

[1]TAZUMA S.Gallstone disease:Epidemiology, pathogenesis, and classification of biliary stones (common bile duct and intrahepatic) [J].Best Pract Res Clin Gastroenterol, 2006, 20 (6) :1075-1083.

[2]CHENG NS, LI FY, CHENG Y.Current status and prospect of surgical management of primary hepatolithiasis[J].Chin J Bases Clin General Surg, 2014, 21 (10) :1185-1188. (in Chinese) 程南生, 李富宇, 程瑶.肝胆管结石的外科治疗现状及展望[J].中国普外基础与临床杂志, 2014, 21 (10) :1185-1188.

[3]CHEN S, HUANG L, QIU FN, et al.Total laparoscopic partial hepatectomy versus open partial hepatectomy for primary left-sided hepatolithiasis:A propensity, long-term follow-up analysis at a single center[J].Surgery, 2018, 163 (4) :714-720.

[4]WANG Y, BO X, WANG Y, et al.Laparoscopic surgery for choledocholithiasis concomitant with calculus of the left intrahepatic duct or abdominal adhesions[J].Surg Endosc, 2017, 31 (11) :4780-4789.

[5]SUZUKI Y, MORI T, YOKOYAMA M, et al.A proposed severity classification system for hepatolithiasis based on an analysis of prognostic factors in a Japanese patient cohort[J].J Gastroenterol, 2018, 53 (7) :854-860.

[6]TAKADA T, SUZUKI S, NAKAMURA M, et al.Percutaneous transhepatic cholangioscopy as a new approach to the diagnosis of the biliary diseases[J].Gastroenterol Endosc, 1974, 16 (1) :106-111.

[7]NIMURA Y, HAYAKAWA N, TOYODA S, et al.Percutaneous transhepatic cholangioscopy[J].Stomach Intestine, 1981, 16:681-689.

[8]RYU M, KOZU T, YAMAZAKI Y, et al.The role of endoscopic lithotomy in the treatment of intrahepatic stones[J].Nihon Geka Gakkai Zasshi, 1984, 85 (9) :1123-1127.

[9]ZHANG QL, FUJITA R, SATAKE Y.Laser-beam lithotripsy for bile duct stone via percutaneous-transhepatic cholangioscopy[J].Chin Med J (Engl) , 1985, 98 (9) :638-642.

[10]CHEN MF, JAN YY.Percutaneous transhepatic cholangioscopic lithotripsy[J].Br J Surg, 1990, 77 (5) :530-532.

[11]JENG KS, CHIANG HJ, SHIH SC.Limitations of percutaneous transhepatic cholangioscopy in the removal of complicated biliary calculi[J].World J Surg, 1989, 13 (5) :603-610.

[12]NEUHAUS H, HOFFMANN W, ZILLINGER C, et al.Laser lithotripsy of difficult bile duct stones under direct visual control[J].Gut, 1993, 34 (3) :415-421.

[13]LEE SK, SEO DW, MYUNG SJ, et al.Percutaneous transhepatic cholangioscopic treatment for hepatolithiasis:An evaluation of long-term results and risk factors for recurrence[J].Gastrointest Endosc, 2001, 53 (3) :318-323.

[14]CHEN C, HUANG M, YANG J, et al.Reappraisal of percutaneous transhepatic cholangioscopic lithotomy for primary hepatolithisasis[J].Surg Endosc, 2005, 19 (4) :505-509.

[15]HWANG MH, MO LR, YANG JC, et al.Percutaneous transhepatic cholangioscopic ultrasonic lithotripsy (PTCS-USL) in the treatment of retained or recurrent intrahepatic stones[J].Gastrointest Endosc, 1987, 33 (4) :303-306.

[16]WANG P, SUN B, HUANG B, et al.Comparison between percutaneous transhepatic rigid cholangioscopic lithotripsy and conventional percutaneous transhepatic cholangioscopic surgery for hepatolithiasis treatment[J].Surg Laparosc Endosc Percutan Tech, 2016, 26 (1) :54-59.

[17]HAN ZM, ZHANG FK.Comparison of clinical effects between two different paths of percutaneous transhepatic cholangioscopy in treating complicated intrahepatic and extrahepatic bHe duct stones[J].J Hepatobiliary Surg, 2016, 24 (6) :422-425. (in Chinese) 韩志敏, 张风奎.经皮肝胆道镜术两种不同路径治疗复杂肝内外胆管结石的临床疗效比较[J].肝胆外科杂志, 2016, 24 (6) :422-425.

[18]LIU XY, LIU XM, ZHI XT.Comparative effect analysis on hepotolith patients by two different path percutaneous transhepatic cholangioscopic lithotripsy[J].Chin J Curr Adv Gen Surg, 2015, 18 (7) :530-532. (in Chinese) 刘晓洋, 刘晓明, 智绪亭.两种不同PTCSL路径治疗肝胆管结石的临床效果比较[J].中国现代普通外科进展, 2015, 18 (7) :530-532.

[19]WANG P, TAO H, SUN B, et al.A new technique of percutaneous transhepatic rigid cholangioscopic lithotripsy applied in the treatment complicated hepatolithiasis[J].J Hepato Gastroenterol, 2018, 2 (1) :1-9.

[20]YASUDA I, ITOI T.Recent advances in endoscopic management of difficult bile duct stones[J].Dig Endosc, 2013, 25 (4) :376-385.

[21]OGURA T, HIGUCHI K.A review of treatment options for bile duct stones[J].Expert Rev Gastroenterol Hepatol, 2016, 10 (11) :1271-1278.

[22]CANNAVALE A, BEZZI M, CEREATTI F, et al.Combined radiological-endoscopic management of difficult bile duct stones:18-year single center experience[J].Therap Adv Gastroenterol, 2015, 8 (6) :340-351.

[23]Chinese Society of Digtial Medicine, Chinese Medical Association;Digital Surgery Committee of Chinese Research Hospital Association.Expert consensus on accurate diagnosis and treatment of hepatolithiasis with three-dimensional visualization[J].Chin J Pract Surg, 2017, 37 (1) :60-66. (in Chinese) 中华医学会数字医学分会, 中国研究型医院学会数字医学临床外科专业委员会.肝胆管结石三维可视化精准诊治专家共识[J].中国实用外科杂志, 2017, 37 (1) :60-66.

[24]FANG C, LI G, WANG P, et al.Computer-aided rigid choledochoscopy lithotripsy for hepatolithiasis[J].J Surg Res, 2015, 195 (1) :105-112.

[25]HE LT, TANG Q, CHEN QL, et al.Application of ultrasonic guidance for percutaneous transhepatic cholangioscopy in treatment of hepatolithiasis[J].Chin J Biomed Eng, 2015, 21 (1) :81-83. (in Chinese) 何炼图, 汤庆, 陈绮璐, 等.超声引导在经皮肝胆道镜治疗肝胆管结石中的应用[J].中华生物医学工程杂志, 2015, 21 (1) :81-83.

[26]TAMADA K, OHASHI A, TOMIYAMA T, et al.Comparison of intraductal ultrasonography with percutaneous transhepatic cholangioscopy for the identification of residual bile duct stones during lithotripsy[J].J Gastroenterol Hepatol, 2001, 16 (1) :100-103.

[27]OH HC.Percutaneous transhepatic cholangioscopy in bilioenteric anastomosis stricture[J].Clin Endosc, 2016, 49 (6) :530-532.

[28]JENG KS, SHEEN IS, YANG FS.Vascular complications in percutaneous transhepatic management of complicated hepatolithiasis with difficult intrahepatic biliary strictures:Are they avoidable?[J].Surg Laparosc Endosc Percutan Tech, 2002, 12 (2) :82-87.

[29]OH HC, LEE SK, LEE TY, et al.Analysis of percutaneous transhepatic cholangioscopy-related complications and the risk factors for those complications[J].Endoscopy, 2007, 39 (8) :731-736.

[30]TSUTSUMI K, KATO H, YABE S, et al.A comparative evaluation of treatment methods for bile duct stones after hepaticojejunostomy between percutaneous transhepatic cholangioscopy and peroral, short double-balloon enteroscopy[J].Therap Adv Gastroenterol, 2017, 10 (1) :54-67.

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