摘要
胆道再次手术具有病情复杂、技术难度高、手术风险大、术后复发率高等特点,其中胆道良性疾病,包括胆道结石残留或复发、胆管损伤及胆管良性狭窄仍是胆道再次手术的主要原因。笔者从胆道良性疾病再次手术的常见原因、精准外科技术在胆道再次手术的应用及胆道再次手术多学科团队联合诊断与治疗模式的建立等方面作一探讨.建议外科医师应适应近年来微创与精准外科技术的发展.建立胆道再次手术多学科团队诊断与治疗模式,为患者提供最佳的个体化诊断与治疗方案。
Reoperation on biliary tract diseases is a kind of complex and difficult surgery, with the high risk and recurrence rate. Benign biliary tract diseases included residual and recurrence of bile duct stone, bile duct injury and benign biliary stricture, which are still the most common causes for reoperation. The common causes, application of the precision surgery and new mode of multidisciplinary team (MDT) for the reoperation on benign biliary diseases were explored in this paper. With the techniques developments of minimal invasive and precision surgery, the new mode of MDT for the reoperation on benign biliary diseases will provide the best individual diagnosis and treatment to the patients.
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2017年第4期355-358,共4页
Chinese Journal of Digestive Surgery
基金
国家自然科学基金(81572420)
关键词
胆道疾病
良性
再次手术
精准外科
多学科团队
Biliary tract diseases, benign
Reopera-tion
Precision surgery
Muhidiscipli-nary team