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SELECT-UP+HAVE系列技术在肝胆胰外科中的支撑机制与实践探索
Support mechanism and practical exploration of SELECT-UP + HAVE series technology in hepato-pancreato-biliary surgery

微创医学 页码:131-140

作者机构:1成都长江医院消化中心,四川省成都市 610100‌;2 四川大学附属成都市第二人民医院肝胆胰外科,四川省成都市 610017;3 成都慈爱肿瘤医院姑息外科,四川省成都市 610042

DOI:10.11864/j.issn.1673.2026.02.01

  • 中文简介
  • 英文简介
  • 参考文献

随着微创外科理念与技术的持续革新,肝胆胰外科已迈入精准化、个体化、系统化发展新阶段。小直径内窥镜相关技术、内镜逆行胰胆管造影相关技术、腹腔镜相关技术、内镜超声检查相关技术、胆道镜检查相关技术、中医中药、超声引导穿刺相关技术,以及肝动脉/静脉介入栓塞相关技术(SELECT-UP+HAVE)作为多项微创技术的集成,既代表当前肝胆胰疾病诊治的技术前沿,也充分体现“以患者为中心”的现代医学学科建设理念。文章系统梳理了SELECT-UP+HAVE系列技术的核心构成与内涵特征,结合临床实际,分析其在肝胆胰外科学科建设中的支撑机制,并探讨该体系在临床推广应用中面临的主要挑战与优化路径,为推动肝胆胰外科高水平、高质量学科建设提供参考。

With the continuous innovation of concepts and techniques in minimally invasive surgery, hepato-pancreato-biliary surgery has entered a new stage of precise, individualized and systematic development. As an integration of multiple minimally invasive techniques, the small diameter endoscope-related technique, endoscopic retrograde cholangiopancreatography-related technique, laparoscopic-related technique, endoscopic ultrasound-related technique, choledochoscopy-related technique, traditional Chinese medicine, ultrasound-guided puncture-related technique, and hepatic artery/vein interventional embolization-related techniques (SELECT-UP+HAVE) represent the cutting edge of current diagnosis and treatment for hepato-pancreato-biliary diseases and fully embodies the "patient-centered" concept of modern medical discipline construction. This article systematically reviews the core composition and connotative characteristics of the SELECT-UP+HAVE series technology. Combined with clinical practice, it analyzes their supporting mechanism in the discipline construction of hepato-pancreato-biliary surgery, discusses the main challenges and optimization paths in the clinical promotion and application of this system, and provides a reference for promoting high-level and high-quality discipline construction of hepato-pancreato-biliary surgery.


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