Current status of laparoscopic surgery for hepatolithiasis
10.3760/cma.j.cn115396-20241109-00343
- VernacularTitle:腹腔镜手术治疗肝胆管结石病的现状
- Author:
Zicheng WANG
1
;
Quan LIU
;
Xinmin YIN
Author Information
1. 湖南省人民医院（湖南师范大学附属第一医院）肝胆医院肝胆一病区，长沙 410005
- Keywords:
Laparoscopes;
Surgical procedures, operative;
Bile ducts;
Hepatic duct, common;
Calculi
- From:
International Journal of Surgery
2025;52(4):217-221
- CountryChina
- Language:Chinese
-
Abstract:
With the development of minimally invasive surgical techniques, laparoscopic surgery is increasingly widely applied in the treatment of hepatobiliary duct stones because it can bringing faster recovery for patients with less trauma. However, due to differences in disease understanding, treatment concepts, and technical levels among different centers, the development of laparoscopic surgery for hepatolithiasis is uneven, mainly manifested in the lack of uniformity in the grasp of surgical indications, evaluation of treatment effects, and mastery of operative techniques. Complex hepatolithiasis laparoscopic surgery often involves steps such as dissection of adhesions, liver resection, biliary exploration and resection, and reconstruction of the gastrointestinal tract, which requires the surgeon to have a deep technical knowledge. The surgeon also needs to master skills such as choledochoscope, intraoperative ultrasound, and percutaneous transhepatic choledochoscopic lithotomy. This article will introduce the current status of laparoscopic surgery for hepatolithiasis from the perspectives of surgical indications, surgical strategies and methods.
