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SELECT中西医结合微创外科理念在肝胆胰疾病诊治中的应用

尚东 张桂信 张庆凯

引用本文:
Citation:

SELECT中西医结合微创外科理念在肝胆胰疾病诊治中的应用

DOI: 10.3969/j.issn.1001-5256.2020.12.002
基金项目: 

国家重点研发计划(2018YFE0195200); 国家自然科学基金(81873156); 辽宁省中医药临床学(专)科能力建设项目(194-2018125); 大连市领军人才创新研发A类项目; 

详细信息
  • 中图分类号: R576;R575

Application of minimally invasive integrated traditional Chinese and Western medicine therapy based on the SELECT concept in the diagnosis and treatment of hepatobiliary and pancreatic diseases

Research funding: 

 

  • 摘要:

    肝胆胰疾病是消化系统常见病、多发病,部分肝胆胰疾病诊治棘手,并发症发生率高。随着微创诊疗设备和器械的研发,各种内镜腹腔镜技术的开展,使大多数肝胆胰疾病通过微创技术得到诊治。中医药在肝胆胰围手术期有着重要的协同作用,能够有效加速患者康复。笔者领衔的胆胰疾病中西医结合治疗中心团队掌握了多种内镜技术和腹腔镜技术,总结了多年来治疗肝胆胰疾病积累的成功经验,提出了SELECT理念(Spyglass+ERCP+Laparoscopy+EUS+Choledochoscopy+Traditional Chinese medicine,SELECT),根据不同的肝胆胰疾病特点,选用最优化的多镜组合微创治疗方式,围手术期结合中医药治疗,实现了中西医结合治疗肝胆胰疾病的微创化、个体化、精准化。

     

  • [1] SHANG D,ZHANG GX,ZHANG QK. Minimally invasive integrated traditional Chinese and Western medicine therapy for hepatolithiasis based on the SELECT concept[J]. J Clin Hepatol,2020,36(1):31-35.(in Chinese)尚东,张桂信,张庆凯.基于SELECT理念的中西医结合微创治疗肝胆管结石[J].临床肝胆病杂志,2020,36(1):31-35.
    [2] HIROKAWA F,HAYASHI M,MIYAMOTO Y,et al. Short-and long-term outcomes of laparoscopic versus open hepatectomy for small malignant liver tumors:A single-center experience[J]. Surg Endosc,2015,29(2):458-465.
    [3] ZHANG ZL,LI XM,LI K,et al. Application of indocyanine green fluorescence imaging in laparoscopic liver surgery[J]. Chin J Hepatobiliary Surg,2019,25(2):81-86.(in Chinese)张中林,李晓勉,李锟,等.吲哚菁绿荧光成像在腹腔镜肝脏外科手术中的应用[J].中华肝胆外科杂志,2019,25(2):81-86.
    [4] LIU R,YIN ZZ,ZHAO ZM,et al. Hepato-pancreato-biliary surgeries using robotic surgical system in a single institute:One thousand cases[J]. Chin J Pract Surg,2017,37(3):288-290.(in Chinese)刘荣,尹注增,赵之明,等.应用机器人手术系统行肝胆胰手术单中心1000例报告[J].中国实用外科杂志,2017,37(3):288-290.
    [5] YANG LY. Progress and prospect of surgical treatment for portal hypertension[J]. Chin J Pract Surg,2020,40(2):180-184,190.(in Chinese)杨连粤.门静脉高压症外科治疗进展与展望[J].中国实用外科杂志,2020,40(2):180-184,190.
    [6] ZHANG H,XIAO L,ZOU H,et al. Application of SpyGlass Direct Visualization System in diagnosis and treatment of biliary diseases[J]. China J Endosc,2019,25(2):1-5.(in Chinese)张航,肖乐,邹洪,等.SpyGlass直视化系统在胆管疾病诊断和治疗中的应用[J].中国内镜杂志,2019,25(2):1-5.
    [7] SHANG D,ZHANG QK,ZHANG GX. Difficulties and key points in the treatment of complex bile duct stones with multi endoscopy[J/CD]. Chin J Hepat Surg(Electronic Edition),2018,7(3):177-180.(in Chinese)尚东,张庆凯,张桂信.多镜联合治疗复杂胆道结石的难点与要点[J/CD].中华肝脏外科手术学电子杂志,2018,7(3):177-180.
    [8] ZHU HY,XU M,SHEN HJ,et al. A meta-analysis of singlestage versus two-stage management for concomitant gallstones and common bile duct stones[J]. Clin Res Hepatol Gastroenterol,2015,39(5):584-593.
    [9] GUO P,BIE P. Interpretation of expert consensus on application of choledochoscope in diagnosis and treatment of hepatolithiasis(2019 edition)[J]. J Clin Hepatol,2020,36(1):57-58.(in Chinese)郭鹏,别平.《胆道镜在肝胆管结石病诊断与治疗中的应用专家共识(2019版)》解读[J].临床肝胆病杂志,2020,36(1):57-58.
    [10] REUTERWALL M,LUBBE J,ENOCHSSON L,et al. The clinical value of ERCP-guided cholangiopancreatoscopy using a single-operator system[J]. BMC Gastroenterol,2019,19(1):35.
    [11] JIN HB,ZHANG XF. Application of Spyglass in biliary and pancreatic diseases[J]. J Hepatobiliary Surg,2018,26(4):250-254.(in Chinese)金杭斌,张筱凤.Spyglass在胆胰疾病中的应用[J].肝胆外科杂志,2018,26(4):250-254.
    [12] LI ZS. Difficulties and research advances in endoscopic management of pancreatic diseases[J]. J Clin Hepatol,2020,36(8):1681-1687.(in Chinese)李兆申.胰腺疾病内镜诊疗的难点与进展[J].临床肝胆病杂志,2020,36(8):1681-1687.
    [13] MA H,WANG P,SHANG D,et al. Spatial-domain low-coherence quantitative phase microscopy to improve the cytological diagnosis of pancreatic cancer[J]. J Investig Med,2020,68(1):60-67.
    [14] LI LX,SHANG D. Preoperative evaluation and intraoperative planning of pancreatic intraductal papilloma[J/CD]. Chin J Hepat Surg(Electronic Edition),2020,9(5):399-404.(in Chinese)李伦旭,尚东.胰腺导管内乳头状瘤术前评估与术中规划[J/CD].中华肝脏外科手术学电子杂志,2020,9(5):399-404.
    [15] ZHANG MM,LI YQ. Application of needle-based confocal laser endomicroscopy in diagnosis of pancreatic cystic lesions[J]. J Clin Hepatol,2017,33(1):49-52.(in Chinese)张明明,李延青.细针型共聚焦激光显微内镜在胰腺囊性病变诊断中的应用[J].临床肝胆病杂志,2017,33(1):49-52.
    [16] Study Group of Pancreatic Surgery in Chinese Society of Surgery of Chinese Medical Association,Pancreas of Minimally Invasive Treatment Group in Pancreatic Disease Branch of China International Exchange and Promotion Association for Medical and Healthcare,Pancreas Minimally Invasive Group in Pancreatic Diseases Committee of Chinese Research Hospital Association,Pancreas Minimally Invasive Group in Pancreatic Cancer Committee of Chinese Anti-Cancer Association. Expert consensus of laparoscopic pancreaticoduodenectomy(postscript of operation process and main steps)[J]. Chin J Surg,2017,55(5):335-339.(in Chinese)中华医学会外科学分会胰腺外科学组,中国医疗保健国际交流促进会胰腺病分会胰腺微创治疗学组,中国研究型医院学会胰腺疾病专业委员会胰腺微创学组,等.腹腔镜胰十二指肠切除手术专家共识(附:手术流程与主要步骤)[J].中华外科杂志,2017,55(5):335-339.
    [17] van BRUNSCHOT S,VAN GRINSVEN J,VAN SANTVOORT HC,et al. Endoscopic or surgical step-up approach for infected necrotising pancreatitis:A multicentre randomised trial[J]. Lancet,2018,391(10115):51-58.
    [18] Bureau of Medical Administration,National Health Commission of the People’s Republic of China. Guidelines for diagnosis and treatment of primary liver cancer in China(2019 edition)[J]. J Clin Hepatol,2020,36(2):277-292.(in Chinese)中华人民共和国国家卫生健康委员会医政医管局.原发性肝癌诊疗规范(2019年版)[J].临床肝胆病杂志,2020,36(2):277-292.
    [19] ZHOU Q,WANG YX,LIU P,et al. Research advances in traditional Chinese medicine therapy for cholelithiasis[J]. J Clin Hepatol,2018,34(11):2458-2463.(in Chinese)周群,王毅兴,刘平,等.胆石症的中医药治疗研究进展[J].临床肝胆病杂志,2018,34(11):2458-2463.
    [20] General Surgery Committee,China Society of Integrated Traditional Chinese and Western Medicine. Guidelines for integrated traditional Chinese and Western medicine diagnosis and treatment of severe acute pancreatitis(2014,Tianjin)[J]. J Clin Hepatol,2015,31(3):327-331.(in Chinese)中国中西医结合学会普通外科专业委员会.重症急性胰腺炎中西医结合诊治指南(2014年,天津)[J].临床肝胆病杂志,2015,31(3):327-331.
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  • 出版日期:  2020-12-20
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