Diagnosis and treatment strategy for benign biliary diseases

doi:10.3877/cma.j.issn.2095-3232.2024991

Abstract

Abstract:

Gallbladder stones，gallbladder polyps，cholecystitis，cholelithiasis，choledochal cysts and other common and frequently-occurring biliary diseases are compulsory knowledge for physicians from Department of General Surgery，especially those from Department of Biliary Surgery. Screening appropriate diagnosis and treatment strategy is the key in multiple diagnosis and treatment procedures. It is not only necessary to accurately assess the degree of progression and the range of diseases from local to adjacent and even the whole body in diagnosis and differential diagnosis，but also to determine the optimal，secondary and basic diagnosis and treatment regimens after comprehensively considering the advantages and disadvantages in terms of patient tolerance and medical support from the diagnosis and treatment team.

Key words: Cholelithiasis, Bile duct stone, Gallstone, Polypoid lesions of gallbladder, Cholecystitis, Choledochal cyst, Diagnosis, Treatment

Qiusheng Wang. Diagnosis and treatment strategy for benign biliary diseases[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2024, 13(06): 779-782.

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References 12

［1］	Lin WR，Lin DY，Tai DI，et al. Prevalence of and risk factors for gallbladder polyps detected by ultrasonography among healthy Chinese: analysis of 34 669 cases［J］. J Gastroenterol Hepatol，2008，23（6）:965-969.
［2］	中华医学会外科学分会胆道外科学组. 胆囊良性疾病治疗决策的专家共识（2011版）［J］. 中华消化外科杂志，2011，10（1）:14-19.
［3］	Xu Q，Tao LY，Wu Q，et al. Prevalences of and risk factors for biliary stones and gallbladder polyps in a large Chinese population［J］. HPB，2012，14（6）:373-381.
［4］	王秋生. 胆囊息肉之新知新解［J］. 外科理论与实践，2017，22（3）:195-198.
［5］	Babu BI，Dennison AR，Garcea G. Management and diagnosis of gallbladder polyps: a systematic review［J］. Langenbecks Arch Surg，2015，400（4）:455-462.
［6］	Elmasry M，Lindop D，Dunne DF，et al. The risk of malignancy in ultrasound detected gallbladder polyps: a systematic review［J］. Int J Surg，2016，33（Pt A）:28-35.
［7］	Yang HL，Kong L，Hou LL，et al. Analysis of risk factors for polypoid lesions of gallbladder among health examinees［J］. World J Gastroenterol，2012，18（23）:3015-3019.
［8］	Bhatt NR，Gillis A，Smoothey CO，et al. Evidence based management of polyps of the gall bladder: a systematic review of the risk factors of malignancy［J］. Surgeon，2016，14（5）:278-286.
［9］	王秋生，陈卓妙语. 先天性胆管扩张症的分型与外科治疗［J］. 中国医刊，2019，54（7）:710-711.
［10］	Liu K，Lin N，You Y，et al. Risk factors to discriminate neoplastic polypoid lesions of gallbladder: a large-scale case-series study［J］.Asian J Surg，2021，44（12）:1515-1519.
［11］	尚东，张桂信，张庆凯. SELECT中西医结合微创外科理念在肝胆胰疾病诊治中的应用［J］. 临床肝胆病杂志，2020，36（12）:2641-2645.
［12］	Riddell ZC，Corallo C，Albazaz R，et al. Gallbladder polyps and adenomyomatosis［J］. Br J Radiol，2023，96（1142）:20220115.

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