大连大学附属中山医院

胆道微创外科

大连市一级重点学科

胆道微创外科(普外六)作为大连市肝胆外科一级重点学科,现设有床位33张,医护人员20余人,其中,主任医师2名,副主任医生1名,主治医师1名,住院医师4名。科室有独立的胆道镜手术室、ERCP治疗室,配备有国际顶级的胆道内镜设备。2008年被卫生部授予“卫生部内镜专业技术培训基地”。

科室与国内多家著名医疗中心建立联系,广泛开展医疗技术和医学学术方面的交流与合作。科室承担科技部横向课题1项;省教育厅项目1项;市科技局项目、优秀青年基金项目各1项;卫生局项目2项;院长基金1项。近年来,取得发明专利5项,发表学术论文90余篇(EM收录2篇);获恩德思医学科学技术奖(科技部)一等奖1项、二等奖各2项;辽宁省科技进步二等奖1项,三等奖1项;大连市科技进步一等奖1项,二等奖1项,三等奖1项。

科室始终贯彻微创外科的治疗理念,依托本学科先进的内镜设备——腹腔镜、十二指肠镜/子母胆道镜、胆道镜“三镜”为技术应用手段,去除病灶、保留器官功能为特色,以胆囊结石、胆囊息肉、肝内外胆管结石、胆源性胰腺炎、慢性胰腺炎等消化系统疾病的内镜微创治疗作为主要的临床和基础研究方向。目前所进行的胆道镜肝胆管取石术、内镜微创保胆取石/息肉术、“三镜”(腹腔镜、十二指肠镜、胆道镜)联合技术、治疗性ERCP技术(ERBD、ERPD、EBMSD、ENBD、EST+取石术等)的肝胆微创技术达到了国内先进水平;胆道内镜技术治疗肝移植术后胆管铸型综合征、胆道镜电切治疗肝胆管狭窄处于国内的领先地位,达到了国际先进水平。

学科带头人杨玉龙获得中国内镜杰出青年医师奖荣誉称号。其在肝移植术后胆管铸型的微创治疗研究以及胆道镜电切技术的应用国内闻名,曾多次应邀在国内外学术会议上发言,介绍两项领先技术。现兼任卫生部内镜专业技术普通外科培训基地主任、卫生部内镜专业技术普通外科常务理事、中国医师协会内镜保胆委员会副秘书长、卫生部医管司内镜临床诊疗质量评价专家委员会委员、卫生部医管司内镜临床诊疗质量督查委员会常务委员、卫生部医管司内镜临床诊疗质量普外科内镜专业委员会常务委员、卫生部经自然腔道内镜外科手术委员会(NOTES委员会)理事、中国医师协会内镜医师分会常务委员、《中国组织工程与临床康复医学》杂志编委、大连市医疗事故技术鉴定专家委员会委员。

The department of minimally invasive biliary surgery has been a training center of endoscopy authorized by the Ministry of Health which consists of one ward(33 beds) , the choledochoscopy room and the ERCP room .There are 20 medical workers including 2 chief doctors, 1 associate-chief doctor ,1 attending doctor and 4 resident doctors.

The department of minimally invasive biliary surgery was awarded one first prize and two second prizes of Endo_Award in Medical Science and Technology , the highest prize for endoscopy. It was also awarded one Second Prize and one Third Prize for Technology Progress of Liaoning province , and one First Prize , one Second Prize and one Third Prize for Technology Progress of Dalian City . We have taken on many scientific research projects funded by the department of Science and Technology , Department of Education of Liaoning Province and Bureau of Health of Dalian city . More than 70 papers that being cited 48 times have been published on national journals, 22 papers have been published in the recent 5 years , 2 were embodied by Medcine Digest(EM) and Scopus.

Professor Yang Yulong , chief director of the endoscopy training center , specialized in diagnosis and treatment of bile duct cast of liver transplantation via choledochoscopy and other biliary diseases, having acquired China Outstanding Young Doctor Award in Endoscopy , is a standing director of endoscopy technology of the Ministry of Health and a member of a standing committee in China Medical Association :endoscopy division .

Characteristics of the department: Organ preservation , minimally invasive treatment.

1.Laparoscopy-assisted minimally invasive treatment of cholecystolithiasis/polyps with gallbladder preserved via choledochoscopy and of other bile duct diseases have achieved domestic advanced level , while the treatment of bile duct cast of liver transplantation via choledochoscopy has ranked the first level worldwide.

2.Interventional treatment: The application of ERCP which is becoming an essential approach in dealing with acute pancreatitis , acue obstructive suppurative cholangitis , malignant obstructive jaundice , cholecystolithiasis , pancreas fistula and biliary leakage , has achieved domestic advanced level.