Advances in minimally invasive surgery for biliary diseases

DOI
  • Ohtsuka Takao
    Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medical Sciences, Kagoshima University
  • Kurahara Hiroshi
    Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medical Sciences, Kagoshima University
  • Ijichi Tetsuya
    Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medical Sciences, Kagoshima University
  • Yamasaki Yoichi
    Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medical Sciences, Kagoshima University
  • Mataki Yuko
    Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medical Sciences, Kagoshima University

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Other Title
  • 胆道疾患に対する鏡視下手術の進歩

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Description

<p>Laparoscopic cholecystectomy has become a standard procedure for various benign gallbladder diseases including cholecystolithiasis, and Japanese guidelines recommend bailout procedure for difficult laparoscopic cholecystectomy to avoid intraoperative bile duct injury. On the other hand, other minimally invasive operations using laparoscopic or robot-assisted approach cannot be performed in Japan because of delay in maintenance of insurance medical care system support. The reasons include the high-level difficulty of operation for malignant biliary diseases even in open approach, advances in endoscopic intervention using ERCP or EUS technique which lead unnecessity of surgical approach, and difficulty in wide spread in daily practice of laparoscopic operation for congenital biliary diseases which are good candidates for laparoscopic operation, because of their rarity. Expansion of the insurance application of robot-assisted operation, and introduction of laparoscopic operation for relatively early-stage biliary cancer are the pressing issues.</p>

Journal

  • Tando

    Tando 35 (4), 615-621, 2021-10-31

    Japan Biliary Association

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