CAJ | 학술논문

“新式微创保胆”方法治疗胆囊结石方兴未艾,渐成风气.但究其实质仍为以往保胆手术的翻版,并无新意.胆囊虽有一定的功能,但是功能有限,并非不可丧失,更不应为保胆寻找理由而将其功能无限夸大.绝大多数患者切除胆囊后生活质量良好.在胆囊结石成因不明的情况下,至今还没有一个确切的措施可以预防结石的发生.因此,保胆取石术后的结石高复发率难以避免.切除胆囊可以避免诸多保胆的并发症,收益大于风险,有其合理性,也符合外科治疗的原则.因为胆囊切除术有一定的并发症就拒绝甚至将其妖魔化显然是错误的.
“신식미창보담”방법치료담낭결석방흥미애,점성풍기.단구기실질잉위이왕보담수술적번판,병무신의.담낭수유일정적공능,단시공능유한,병비불가상실,경불응위보담심조이유이장기공능무한과대.절대다수환자절제담낭후생활질량량호.재담낭결석성인불명적정황하,지금환몰유일개학절적조시가이예방결석적발생.인차,보담취석술후적결석고복발솔난이피면.절제담낭가이피면제다보담적병발증,수익대우풍험,유기합이성,야부합외과치료적원칙.인위담낭절제술유일정적병발증취거절심지장기요마화현연시착오적.
A new minimally invasive gallbladder-preserving operation has emerged for the treatment of gallbladder stones,but fundamentally it is a replica of the previous gallbladder preservation method.The gallbladder aids in digestion but is not essential for life.Its function should not be exaggerated and should not instigate trivial reasons for its preservation.Most patients undergoing cholecystectomy maintain a good quality of life.The causes,mechanisms,and prevention of gallstone formation remains mysterious,so a high recurrence rate after gallbladder-preserving operation is difficult to avoid.A full cholecystectomy can avoid recurrence complications and the benefits outweigh the risks.A discussion of the benefits and complications must be initiated to evaluate both treatment modalities for gallstones.