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内镜微创保胆手术治疗胆囊良性疾病专家共识(2018版)

2018-09-17 中国医师协会内镜医师分会 中国内镜杂志.2018,24(9):106-112.

胆囊结石、胆囊良性息肉是临床常见的胆囊良性病变,近年来其发病率逐年升高。全球成年人胆囊结石总患病率已达10%~20%。胆囊息肉在我国的患病率也逐年升高。自从1882 年LANGENBUCH 完成了世界第一例胆囊切除术,此后的100 多年,胆囊切除术已成为胆囊良性疾病的主要治疗手段,随着腹腔镜胆囊切除术的逐渐普及,胆囊切除的指征不断扩大,而胆囊切除术后胆囊生理功能的缺失却长期得不到应有的重视。随之而

中文标题:

内镜微创保胆手术治疗胆囊良性疾病专家共识(2018版)

发布日期:

2018-09-17

简要介绍:

胆囊结石、胆囊良性息肉是临床常见的胆囊良性病变,近年来其发病率逐年升高。全球成年人胆囊结石总患病率已达10%~20%。胆囊息肉在我国的患病率也逐年升高。自从1882 年LANGENBUCH 完成了世界第一例胆囊切除术,此后的100 多年,胆囊切除术已成为胆囊良性疾病的主要治疗手段,随着腹腔镜胆囊切除术的逐渐普及,胆囊切除的指征不断扩大,而胆囊切除术后胆囊生理功能的缺失却长期得不到应有的重视。随之而来的是大量的近远期并发症,包括胆管损伤、血管损伤、胆总管结石、十二指肠胃返流、腹泻 以及消化道肿瘤发病率的升高。近年来,由张宝善教授倡导的内镜微创保胆手术(choledochoscopic gallbladder-preserving surgery,CGPS)日趋成熟,已经成为治疗胆囊良性疾病的手术方式之一。中国医师协会内镜医师分会内镜微创保胆专业委员会已经制定了《内镜微创保胆手术指南(2015 版)》(以下简称《指南》),但作为一个新的手术方式,手术指征的把握及手术操作的规范程度尚需不断改进。因此,笔者对CGPS 的一些问题达成本共识。 

拓展指南:胆囊相关指南:

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    厉害

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=968730, encodeId=44b0968e30e9, content=好文, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210524/26afdc5e30d44736a87b6ade238144c4/4bee6755758e4fae8780e489697b2c35.jpg, createdBy=f5d05199018, createdName=1赵文, createdTime=Wed May 26 20:34:22 CST 2021, time=2021-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968225, encodeId=d4639682258f, content=好文, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210524/26afdc5e30d44736a87b6ade238144c4/4bee6755758e4fae8780e489697b2c35.jpg, createdBy=f5d05199018, createdName=1赵文, createdTime=Mon May 24 20:42:30 CST 2021, time=2021-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=968220, encodeId=440c96822046, content=赞, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210524/26afdc5e30d44736a87b6ade238144c4/4bee6755758e4fae8780e489697b2c35.jpg, createdBy=f5d05199018, createdName=1赵文, createdTime=Mon May 24 20:10:58 CST 2021, time=2021-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946727, encodeId=cbb6946e27fa, content=厉害, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b8f1961917, createdName=a6806376, createdTime=Tue Mar 09 10:57:15 CST 2021, time=2021-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=903373, encodeId=030f9033e31b, content=这个手术方式争议比较大,需要严格筛选病人, beContent=null, objectType=guider, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201129/60ceb3e234204564a8932eb61ba97c05/91b6d16cec534a2498180c7ce62be789.jpg, createdBy=f6a75206151, createdName=docwan, createdTime=Sun Nov 29 21:23:43 CST 2020, time=2020-11-29, status=1, ipAttribution=)]
    2020-11-29 docwan

    这个手术方式争议比较大,需要严格筛选病人

    0

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