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首页> 外文期刊>Current opinion in gastroenterology >Bile duct cysts: contemporary surgical management.
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Bile duct cysts: contemporary surgical management.

机译：胆管囊肿：当代外科治疗。

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PURPOSE OF REVIEW: Surgical treatment of bile duct cysts remains the mainstay to reduce cyst-related complications and risk of malignancy. Optimizing treatment outcomes is dependent upon a thorough preoperative evaluation and selecting the appropriate intervention. This review summarizes the recent progress in the evaluation and treatment of bile duct cysts, particularly in relation to contemporary operative approaches. RECENT FINDINGS: Ongoing efforts continue in optimizing the evaluation, classification and management of bile duct cysts. The risk of cholangiocarcinoma is not limited to the bile duct cyst itself and appropriate management and surveillance is paramount. Recent advances in laparoscopic and endoscopic equipment have paralleled an increasing interest in minimally invasive approaches in the management of patients with bile duct cysts. Favorable results of laparoscopic approaches are increasingly reported and suggest the feasibility of this technique in select patients. SUMMARY: Although the surgical premise of resection has not changed for the treatment of bile duct cysts, there has been an increasing utilization of minimally invasive approaches. Results thus far are promising, but long-term, controlled data is needed before this approach can be considered standard.
机译：审查目的：胆囊囊肿的外科手术治疗仍然是减少与囊肿相关的并发症和恶性肿瘤风险的主要手段。优化治疗结果取决于全面的术前评估并选择适当的干预措施。这篇综述总结了在胆管囊肿的评估和治疗方面的最新进展，特别是在当代手术方法方面。最近的发现：继续努力优化胆管囊肿的评估，分类和管理。胆管癌的风险不仅限于胆管囊肿本身，适当的管理和监视至关重要。腹腔镜和内窥镜设备的最新进展与对胆管囊肿患者的微创治疗方法的关注日益增加。腹腔镜手术方法的良好结果越来越多地被报道，并表明该技术在特定患者中的可行性。总结：尽管切除胆管囊肿的外科手术前提没有改变，但微创治疗方法的利用率不断提高。迄今为止的结果是有希望的，但是在此方法被认为是标准之前，需要长期的受控数据。

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