CAJ | 학술논문

随着腔镜技术和设备的不断完善，胆道结石病的微创治疗越来越呈现多样化。介绍了胆道结石病的微创治疗理念、手术适应证、禁忌证、手术方法、手术优缺点等。认为，腹腔镜的应用为胆道结石病的微创治疗奠定了基础，而胆道镜和内镜的联合应用为胆道结石病的微创治疗带来了新思路。“三镜”联合应用避免了传统开腹的创伤大、手术时间长等缺点，减少了患者的痛苦和并发症。“三镜”联合还有很大上升空间，只要掌握好几种术式的适应证，客观地评价其安全性和有效性即可发挥其最大的作用。
수착강경기술화설비적불단완선，담도결석병적미창치료월래월정현다양화。개소료담도결석병적미창치료이념、수술괄응증、금기증、수술방법、수술우결점등。인위，복강경적응용위담도결석병적미창치료전정료기출，이담도경화내경적연합응용위담도결석병적미창치료대래료신사로。“삼경”연합응용피면료전통개복적창상대、수술시간장등결점，감소료환자적통고화병발증。“삼경”연합환유흔대상승공간，지요장악호궤충술식적괄응증，객관지평개기안전성화유효성즉가발휘기최대적작용。
With the continuous improvement of endoscopic technology and equipment,minimally invasive treatment of bile duct stones be-comes increasingly diversified.In this paper,the concept of minimally invasive treatment of bile duct stones,surgical indications and contra-indications,surgical methods,and the advantages and disadvantages of surgical methods are introduced.It is shown that the application of laparoscope has laid the foundation for the minimally invasive treatment of bile duct stones,and the combined application of choledochoscope and endoscope has brought new ideas for minimally invasive treatment of bile duct stones.The combination of three endoscopes avoids the disadvantages of traditional open surgery:large trauma and long operation time,and reduces the patient′s pain and complications.In the near future,the combination of three endoscopes still has much room for growth.As long as the indications for several surgeries are mastered and the safety and efficacy are evaluated objectively,the combination of three endoscopes will play the biggest role.