中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 36 Issue 12
Dec.  2020
Turn off MathJax
Article Contents

Application of minimally invasive integrated traditional Chinese and Western medicine therapy based on the SELECT concept in the diagnosis and treatment of hepatobiliary and pancreatic diseases

DOI: 10.3969/j.issn.1001-5256.2020.12.002
Research funding:

 

  • Published Date: 2020-12-20
  • Hepatobiliary and pancreatic diseases are common and frequently occurring diseases in the digestive system,and several hepatobiliary and pancreatic diseases are difficult to diagnose and treat,with a high incidence rate of complications. With the development of minimally invasive devices and instruments and the application of various laparoscopic/endoscopic techniques,most hepatobiliary and pancreatic diseases can be diagnosed and treated by minimally invasive techniques. Traditional Chinese medicine plays an important synergistic role during the perioperative period for hepatobiliary and pancreatic diseases and can accelerate the recovery of patients. The team of Liaoning Provincial Center for Integrated Traditional Chinese and Western Medicine Therapy for Biliary and Pancreatic Diseases led by the authors has mastered various laparoscopic and endoscopic techniques and proposed the concept of SELECT( Spyglass,ERCP,Laparoscopy,EUS,Choledochoscopy,and traditional Chinese medicine) by summarizing the successful experience in the treatment of hepatobiliary and pancreatic diseases in recent years. The optimal combination of minimally invasive multi-endoscopic techniques is selected based on the features of different hepatobiliary and pancreatic diseases,and traditional Chinese medicine treatment is also applied in the perioperative period,so as to achieve minimally invasive,individualized,and precise integrated traditional Chinese and Western medicine therapy for hepatobiliary and pancreatic diseases.

     

  • loading
  • [1] SHANG D,ZHANG GX,ZHANG QK. Minimally invasive integrated traditional Chinese and Western medicine therapy for hepatolithiasis based on the SELECT concept[J]. J Clin Hepatol,2020,36(1):31-35.(in Chinese)尚东,张桂信,张庆凯.基于SELECT理念的中西医结合微创治疗肝胆管结石[J].临床肝胆病杂志,2020,36(1):31-35.
    [2] HIROKAWA F,HAYASHI M,MIYAMOTO Y,et al. Short-and long-term outcomes of laparoscopic versus open hepatectomy for small malignant liver tumors:A single-center experience[J]. Surg Endosc,2015,29(2):458-465.
    [3] ZHANG ZL,LI XM,LI K,et al. Application of indocyanine green fluorescence imaging in laparoscopic liver surgery[J]. Chin J Hepatobiliary Surg,2019,25(2):81-86.(in Chinese)张中林,李晓勉,李锟,等.吲哚菁绿荧光成像在腹腔镜肝脏外科手术中的应用[J].中华肝胆外科杂志,2019,25(2):81-86.
    [4] LIU R,YIN ZZ,ZHAO ZM,et al. Hepato-pancreato-biliary surgeries using robotic surgical system in a single institute:One thousand cases[J]. Chin J Pract Surg,2017,37(3):288-290.(in Chinese)刘荣,尹注增,赵之明,等.应用机器人手术系统行肝胆胰手术单中心1000例报告[J].中国实用外科杂志,2017,37(3):288-290.
    [5] YANG LY. Progress and prospect of surgical treatment for portal hypertension[J]. Chin J Pract Surg,2020,40(2):180-184,190.(in Chinese)杨连粤.门静脉高压症外科治疗进展与展望[J].中国实用外科杂志,2020,40(2):180-184,190.
    [6] ZHANG H,XIAO L,ZOU H,et al. Application of SpyGlass Direct Visualization System in diagnosis and treatment of biliary diseases[J]. China J Endosc,2019,25(2):1-5.(in Chinese)张航,肖乐,邹洪,等.SpyGlass直视化系统在胆管疾病诊断和治疗中的应用[J].中国内镜杂志,2019,25(2):1-5.
    [7] SHANG D,ZHANG QK,ZHANG GX. Difficulties and key points in the treatment of complex bile duct stones with multi endoscopy[J/CD]. Chin J Hepat Surg(Electronic Edition),2018,7(3):177-180.(in Chinese)尚东,张庆凯,张桂信.多镜联合治疗复杂胆道结石的难点与要点[J/CD].中华肝脏外科手术学电子杂志,2018,7(3):177-180.
    [8] ZHU HY,XU M,SHEN HJ,et al. A meta-analysis of singlestage versus two-stage management for concomitant gallstones and common bile duct stones[J]. Clin Res Hepatol Gastroenterol,2015,39(5):584-593.
    [9] GUO P,BIE P. Interpretation of expert consensus on application of choledochoscope in diagnosis and treatment of hepatolithiasis(2019 edition)[J]. J Clin Hepatol,2020,36(1):57-58.(in Chinese)郭鹏,别平.《胆道镜在肝胆管结石病诊断与治疗中的应用专家共识(2019版)》解读[J].临床肝胆病杂志,2020,36(1):57-58.
    [10] REUTERWALL M,LUBBE J,ENOCHSSON L,et al. The clinical value of ERCP-guided cholangiopancreatoscopy using a single-operator system[J]. BMC Gastroenterol,2019,19(1):35.
    [11] JIN HB,ZHANG XF. Application of Spyglass in biliary and pancreatic diseases[J]. J Hepatobiliary Surg,2018,26(4):250-254.(in Chinese)金杭斌,张筱凤.Spyglass在胆胰疾病中的应用[J].肝胆外科杂志,2018,26(4):250-254.
    [12] LI ZS. Difficulties and research advances in endoscopic management of pancreatic diseases[J]. J Clin Hepatol,2020,36(8):1681-1687.(in Chinese)李兆申.胰腺疾病内镜诊疗的难点与进展[J].临床肝胆病杂志,2020,36(8):1681-1687.
    [13] MA H,WANG P,SHANG D,et al. Spatial-domain low-coherence quantitative phase microscopy to improve the cytological diagnosis of pancreatic cancer[J]. J Investig Med,2020,68(1):60-67.
    [14] LI LX,SHANG D. Preoperative evaluation and intraoperative planning of pancreatic intraductal papilloma[J/CD]. Chin J Hepat Surg(Electronic Edition),2020,9(5):399-404.(in Chinese)李伦旭,尚东.胰腺导管内乳头状瘤术前评估与术中规划[J/CD].中华肝脏外科手术学电子杂志,2020,9(5):399-404.
    [15] ZHANG MM,LI YQ. Application of needle-based confocal laser endomicroscopy in diagnosis of pancreatic cystic lesions[J]. J Clin Hepatol,2017,33(1):49-52.(in Chinese)张明明,李延青.细针型共聚焦激光显微内镜在胰腺囊性病变诊断中的应用[J].临床肝胆病杂志,2017,33(1):49-52.
    [16] Study Group of Pancreatic Surgery in Chinese Society of Surgery of Chinese Medical Association,Pancreas of Minimally Invasive Treatment Group in Pancreatic Disease Branch of China International Exchange and Promotion Association for Medical and Healthcare,Pancreas Minimally Invasive Group in Pancreatic Diseases Committee of Chinese Research Hospital Association,Pancreas Minimally Invasive Group in Pancreatic Cancer Committee of Chinese Anti-Cancer Association. Expert consensus of laparoscopic pancreaticoduodenectomy(postscript of operation process and main steps)[J]. Chin J Surg,2017,55(5):335-339.(in Chinese)中华医学会外科学分会胰腺外科学组,中国医疗保健国际交流促进会胰腺病分会胰腺微创治疗学组,中国研究型医院学会胰腺疾病专业委员会胰腺微创学组,等.腹腔镜胰十二指肠切除手术专家共识(附:手术流程与主要步骤)[J].中华外科杂志,2017,55(5):335-339.
    [17] van BRUNSCHOT S,VAN GRINSVEN J,VAN SANTVOORT HC,et al. Endoscopic or surgical step-up approach for infected necrotising pancreatitis:A multicentre randomised trial[J]. Lancet,2018,391(10115):51-58.
    [18] Bureau of Medical Administration,National Health Commission of the People’s Republic of China. Guidelines for diagnosis and treatment of primary liver cancer in China(2019 edition)[J]. J Clin Hepatol,2020,36(2):277-292.(in Chinese)中华人民共和国国家卫生健康委员会医政医管局.原发性肝癌诊疗规范(2019年版)[J].临床肝胆病杂志,2020,36(2):277-292.
    [19] ZHOU Q,WANG YX,LIU P,et al. Research advances in traditional Chinese medicine therapy for cholelithiasis[J]. J Clin Hepatol,2018,34(11):2458-2463.(in Chinese)周群,王毅兴,刘平,等.胆石症的中医药治疗研究进展[J].临床肝胆病杂志,2018,34(11):2458-2463.
    [20] General Surgery Committee,China Society of Integrated Traditional Chinese and Western Medicine. Guidelines for integrated traditional Chinese and Western medicine diagnosis and treatment of severe acute pancreatitis(2014,Tianjin)[J]. J Clin Hepatol,2015,31(3):327-331.(in Chinese)中国中西医结合学会普通外科专业委员会.重症急性胰腺炎中西医结合诊治指南(2014年,天津)[J].临床肝胆病杂志,2015,31(3):327-331.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (4891) PDF downloads(141) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return