完全腹腔镜在先天性胆总管囊肿手术中的应用
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蒋波, Email: jiangbodoctor@126.com

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Total laparoscopic technique for congenital choledochal cyst
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    目的:探讨腹腔镜在先天性胆总管囊肿手术中的应用经验。 方法:回顾性分析2011年8月—2012年12月7例腹腔镜胆总管囊肿手术患者的临床资料。 结果:5例患者在完全腹腔镜下完成胆总管囊肿切除和肝肠Roux-en-Y引流,手术时间为310~400 min,术中出血50~100 mL,术后住院时间5~7 d,术后随访3~19个月,未出现术后并发症,无死亡病例。2例因胆总管囊肿炎症重,渗血较多中转开腹完成手术。 结论:完全腹腔镜胆总管囊肿切除和肝肠Roux-en-Y引流治疗先天性胆总囊肿是安全可行的,具有微创、术后恢复快等优点;熟练的腹腔镜技术,良好的团队配合是手术成功的关键。

    Abstract:

    Objective: To explore the application and technical points of total laparoscopic surgery for congenital choledochal cyst. Methods: The clinical data of 7 patients undergoing laparoscopic surgery for choledochal cyst from August 2011 to December 2012 were retrospectively analyzed. Results: Cyst excision and Roux-en-Y hepato-enteric anastomosis were successfully performed by laparoscopic procedures in 5 patients, and the operative time was 310–400 min, intraoperative blood loss was 50–100 mL and length of postoperative hospital stay was 5–7 d. Follow-up ranged from 3 to 19 months, and no postoperative complications or death occurred. Two patients were converted to open surgery due to severe inflammation of the choledochal cyst or bleeding. Conclusion: Total laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy is a safe and feasible procedure with the advantages of minimal invasiveness and fast recovery for most cases of choledochal cyst. Excellent laparoscopic skills and teamwork is crucial for surgical success.

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段小辉|蒋波|毛先海|田秉璋|沈贤波|吴金术.完全腹腔镜在先天性胆总管囊肿手术中的应用[J].中国普通外科杂志,2013,22(8):1057-1060.
DOI:10.7659/j. issn.1005-6947.2013.08.021

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  • 收稿日期:2013-03-12
  • 最后修改日期:2013-07-22
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  • 在线发布日期: 2013-08-15