Application of the bile duct tree concept in minimally invasive surgery for intrahepatic bile duct stones

Intrahepatic bile duct stones, as a prevalent disease in the field of hepatobiliary surgery in China, present multiple challenges in clinical management. The core factors contributing to stone retention and recurrence lie in the practical difficulties of implementing traditional anatomic hepatectomy...

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Main Author: LI Jingdong, HUANG Xujian, LI Qiang, ZHU Jianjiao
Format: Article
Language:zho
Published: Editorial Office of Journal of Surgery Concepts & Practice 2025-03-01
Series:Waike lilun yu shijian
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Online Access:https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1751876454675-408021639.pdf
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author LI Jingdong, HUANG Xujian, LI Qiang, ZHU Jianjiao
author_facet LI Jingdong, HUANG Xujian, LI Qiang, ZHU Jianjiao
author_sort LI Jingdong, HUANG Xujian, LI Qiang, ZHU Jianjiao
collection DOAJ
description Intrahepatic bile duct stones, as a prevalent disease in the field of hepatobiliary surgery in China, present multiple challenges in clinical management. The core factors contributing to stone retention and recurrence lie in the practical difficulties of implementing traditional anatomic hepatectomy and the limited efficacy in correcting biliary strictures. In response to this clinical dilemma, the specialty of biliary surgery has progressively developed a precise and minimally invasive resection concept guided by three-dimensional hepatic venous anatomy combined with lesioned bile duct tree distribution patterns. At the technical implementation level, it is imperative to establish a standardized operative system encompassing laparoscopic precision parenchymal transection, hilar bile duct plastic reconstruction, along with auxiliary techniques such as intraoperative ultrasound, indocyanine green fluorescence staining guidance, and multi-endoscopic combined stone extraction approaches.
format Article
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institution Kabale University
issn 1007-9610
language zho
publishDate 2025-03-01
publisher Editorial Office of Journal of Surgery Concepts & Practice
record_format Article
series Waike lilun yu shijian
spelling doaj-art-0e8378fbe4d34fc29d06c0792e4568442025-08-20T03:28:21ZzhoEditorial Office of Journal of Surgery Concepts & PracticeWaike lilun yu shijian1007-96102025-03-0130212012410.16139/j.1007-9610.2025.02.05Application of the bile duct tree concept in minimally invasive surgery for intrahepatic bile duct stonesLI Jingdong, HUANG Xujian, LI Qiang, ZHU Jianjiao0Department of Hepatobiliary Surgery Ⅰ, Affiliated Hospital of North Sichuan Medical College; Institute of Hepato-Biliary-Pancreatic-Intestinal Disease, North Sichuan Medical College; Sichuan Clinical Research Center for Digestive Diseases, Si-chuan Nanchong 637000, ChinaIntrahepatic bile duct stones, as a prevalent disease in the field of hepatobiliary surgery in China, present multiple challenges in clinical management. The core factors contributing to stone retention and recurrence lie in the practical difficulties of implementing traditional anatomic hepatectomy and the limited efficacy in correcting biliary strictures. In response to this clinical dilemma, the specialty of biliary surgery has progressively developed a precise and minimally invasive resection concept guided by three-dimensional hepatic venous anatomy combined with lesioned bile duct tree distribution patterns. At the technical implementation level, it is imperative to establish a standardized operative system encompassing laparoscopic precision parenchymal transection, hilar bile duct plastic reconstruction, along with auxiliary techniques such as intraoperative ultrasound, indocyanine green fluorescence staining guidance, and multi-endoscopic combined stone extraction approaches.https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1751876454675-408021639.pdf|hepatolithiasis|liver diseases|bile duct tree|laparoscopic technique
spellingShingle LI Jingdong, HUANG Xujian, LI Qiang, ZHU Jianjiao
Application of the bile duct tree concept in minimally invasive surgery for intrahepatic bile duct stones
Waike lilun yu shijian
|hepatolithiasis|liver diseases|bile duct tree|laparoscopic technique
title Application of the bile duct tree concept in minimally invasive surgery for intrahepatic bile duct stones
title_full Application of the bile duct tree concept in minimally invasive surgery for intrahepatic bile duct stones
title_fullStr Application of the bile duct tree concept in minimally invasive surgery for intrahepatic bile duct stones
title_full_unstemmed Application of the bile duct tree concept in minimally invasive surgery for intrahepatic bile duct stones
title_short Application of the bile duct tree concept in minimally invasive surgery for intrahepatic bile duct stones
title_sort application of the bile duct tree concept in minimally invasive surgery for intrahepatic bile duct stones
topic |hepatolithiasis|liver diseases|bile duct tree|laparoscopic technique
url https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1751876454675-408021639.pdf
work_keys_str_mv AT lijingdonghuangxujianliqiangzhujianjiao applicationofthebileducttreeconceptinminimallyinvasivesurgeryforintrahepaticbileductstones