当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
34期
82-82,83
,共2页
腹腔镜%先天性胆总管囊肿切除%胆管空肠吻合术
腹腔鏡%先天性膽總管囊腫切除%膽管空腸吻閤術
복강경%선천성담총관낭종절제%담관공장문합술
Laparoscopy%Excision of congenital choledochal cyst%Bile duct jejunum anastomosis
目的：探讨行腹腔镜先天性胆总管囊肿切除及肝管空肠吻合术的临床疗效。方法选取2012年9月-2013年1月收治的先天性胆总管囊肿(Congenital Choledochal Cyst，CCC)患者86例行腹腔镜下先天性胆总管囊肿切除及肝管空肠吻合术治疗，对其临床资料进行回顾性分析，就腹腔镜下先天性胆总管囊肿切除及肝管空肠吻合术在治疗先天性胆总管囊肿中的应用价值进行观察研究。结果所有患者手术均获得成功，手术时间4.5～6 h，平均手术时间（5.12±0.56）h；均在术后24 h内恢复肠道功能并下床活动。术中出血量28.52 mL(20～50 mL)，无术中或术后需输血者，吻合口直径1.0～1.5 cm。本文所有患儿出院后均获得随访1～3个月，所有患儿均恢复正常，无再次入院者。结论腹腔镜下先天性胆总管囊肿切除及肝管空肠吻合术治疗先天性胆总管囊肿是可行的、微创、恢复快，可在小儿安全实施并可取得满意效果。
目的：探討行腹腔鏡先天性膽總管囊腫切除及肝管空腸吻閤術的臨床療效。方法選取2012年9月-2013年1月收治的先天性膽總管囊腫(Congenital Choledochal Cyst，CCC)患者86例行腹腔鏡下先天性膽總管囊腫切除及肝管空腸吻閤術治療，對其臨床資料進行迴顧性分析，就腹腔鏡下先天性膽總管囊腫切除及肝管空腸吻閤術在治療先天性膽總管囊腫中的應用價值進行觀察研究。結果所有患者手術均穫得成功，手術時間4.5～6 h，平均手術時間（5.12±0.56）h；均在術後24 h內恢複腸道功能併下床活動。術中齣血量28.52 mL(20～50 mL)，無術中或術後需輸血者，吻閤口直徑1.0～1.5 cm。本文所有患兒齣院後均穫得隨訪1～3箇月，所有患兒均恢複正常，無再次入院者。結論腹腔鏡下先天性膽總管囊腫切除及肝管空腸吻閤術治療先天性膽總管囊腫是可行的、微創、恢複快，可在小兒安全實施併可取得滿意效果。
목적：탐토행복강경선천성담총관낭종절제급간관공장문합술적림상료효。방법선취2012년9월-2013년1월수치적선천성담총관낭종(Congenital Choledochal Cyst，CCC)환자86례행복강경하선천성담총관낭종절제급간관공장문합술치료，대기림상자료진행회고성분석，취복강경하선천성담총관낭종절제급간관공장문합술재치료선천성담총관낭종중적응용개치진행관찰연구。결과소유환자수술균획득성공，수술시간4.5～6 h，평균수술시간（5.12±0.56）h；균재술후24 h내회복장도공능병하상활동。술중출혈량28.52 mL(20～50 mL)，무술중혹술후수수혈자，문합구직경1.0～1.5 cm。본문소유환인출원후균획득수방1～3개월，소유환인균회복정상，무재차입원자。결론복강경하선천성담총관낭종절제급간관공장문합술치료선천성담총관낭종시가행적、미창、회복쾌，가재소인안전실시병가취득만의효과。
Objective To explore the role of congenital choledochal cyst excision and hepaticojejunostomy clinical curative effect. Methods This study in 2012 September-2013 year in January admitted to the congenital choledochal cyst (Congenital Choledochal Cyst,CCC)were treated by laparoscopic choledochal cyst excision and hepaticojejunostomy therapy, and the clinical data were retrospectively analyzed, resection of abdominal laparoscopic choledochal cyst of liver duct anastomosis were observed on the application value of treatment of congenital choledochal cyst. Results All patients underwent operation were successful, the operation time was 4.5-6 h, the average operation time was (5.12±0.56)h;at 24 h after operation recovery of intestinal function and ambulation. The intraoperative blood loss was 28.52 mL (20-50 mL), no intraoperative or postoperative blood transfusion, stoma diameter 1.0-1.5 cm. Were followed up for 1-3 months in all patients after discharge, all patients were recovered to normal again, no admission. Conclusion Laparoscopic choledochal cyst excision and hepatic duct and jejunum anastomosis in the treatment of congenital choledochal cyst is feasible, minimally invasive, quick recovery, and the satisfactory effect can be gained in children's safety.
