腹腔镜胆囊切除术相关胆管损伤的研究进展

腹腔镜胆囊切除术(LC)经历30余年的发展,已逐步替代开腹胆囊切除术(OC)成为治疗症状性胆囊结石金标准术式。然而,LC相关并发症尤其胆管损伤(BDI),因其后果的严重性而引起广泛关注。笔者从BDI的病因、诊断、分类、治疗及预后等方面的最新研究进展进行综述,以深入阐述BDI的病情演变特征,并着重于手术方式发展情况以便服务于临床,为BDI的规范化诊疗提供参考。

Research progress of bile duct injury associated with laparoscopic cholecystectomy

After more than 30 years of development, laparoscopic cholecystectomy (LC) has gradually replaced open cholecystectomy (OC) and become the gold standard therapeutic option for the treatment of symptomatic cholecystolithiasis. However, the LC-associated complications, especially bile duct injury (BDI), have generated widespread concern due to the severity of their consequences. Here, the authors address the research progress of BDI in terms of etiology, diagnosis, classification, treatment and prognosis, in order to elaborate the evolutionary characteristics of BDI, with an emphasis on the development of surgical procedures for helping in clinical practice, and establishment of the standardized diagnosis and treatment of BDI.