良性胆囊疾病的内镜管理
Yimei Ji1, Weirong Huang1, Jiefang Guo1
1Department of Gastroenterology and Endoscopy, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, China.
概括
内镜技术为胆囊手术提供了替代品,用于胆结石等良性疾病. 本综述考察了跨毛囊,跨壁和NOTES方法,强调了当前对其有效性的证据.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 胃肠内镜检查 胃肠内镜检查
背景情况:
- 良性胆囊疾病,包括急性胆囊炎,胆病和胆囊聚体是常见的.
- 腹腔镜胆囊切除术是标准的手术治疗方法.
- 内镜手术为传统手术提供了潜在的替代方案.
研究的目的:
- 对管理良性胆囊疾病的各种内镜方法进行审查并提供见解.
- 评估有关这些内镜方法临床结果的最新证据.
- 为了比较不同内镜技术的疗效.
主要方法:
- 对胆囊疾病的内镜治疗策略的系统审查.
- 包括跨毛囊方法 (内镜逆行胆血管细胞造影).
- 包括跨壁接入方法 (内镜超声波) 和NOTES方法.
主要成果:
- 内镜方法正在成为腹腔镜胆囊切除术的可行替代方案.
- 具体的技术包括跨毛囊,跨壁和自然孔透光内镜手术 (NOTES).
- 目前,对临床结果进行比较的高级别证据有限,需要进一步研究.
结论:
- 内镜治疗为良性胆囊疾病提供了有前途的替代方案.
- 需要进一步的高质量研究来确定最佳的内镜方法.
- 本综述综合了关于内镜胆囊疾病管理的当前证据.
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