Analysis and recognition of endoscopic treatment for cholelithiasis from the view of disease of pancreaticobiliary junction

doi:10.16139/j.1007-9610.2023.02.07

Abstract

Abstract:

Cholelithiasis is a common disease, which seriously endangers human health. The traditional treatment mainly depended on open cholecystectomy and biliary tract exploration. With the development of minimally invasive technology, the endoscopic management including laparoscopy, choledochoscopy and duodenoscopy has been widely used in the treatment of cholelithiasis. However, the complications such as bile leakage, stone recurrence and post cholecystectomy syndrome remain plaguing hepatobiliary surgeons. The pancreaticobiliary junction refers to the area among the end of common bile duct, the opening of main pancreatic duct and duodenal papilla, where the Oddi sphincter controls the excretion of bile and pancreatic juice. The disease in this area will affect the flow both rate and direction of bile and pancreatic juice, which produce not only biliary and pancreatic diseases, but also the various complications after surgery for cholelithiasis.

Key words: Cholelithiasis, Disease of pancreaticobiliary junction, Laparoscope, Choledochoscope, Duodenoscope

CLC Number:

R657.42

ZHANG Cheng, YANG Yulong. Analysis and recognition of endoscopic treatment for cholelithiasis from the view of disease of pancreaticobiliary junction[J]. Journal of Surgery Concepts & Practice, 2023, 28(02): 119-123.

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