摘要
目的探讨腹腔镜在新生儿及幼婴胆道疾病诊治中的价值.方法回顾性分析2003年1月～2004年8月我院9例新生儿及幼婴胆道疾病腹腔诊断和治疗的临床资料.结果9例患儿行腹腔镜探查,其中胆总管囊肿2例,胆道闭锁5例,胆汁黏稠1例,胆道发育不良1例.8例胆道造影成功.2例胆总管囊肿行腹腔镜下囊肿切除、肝管空肠Roux-Y吻合术.5例胆道闭锁中3例行开腹扩大肝门、肝肠吻合术;1例行腹腔镜下扩大肝门、肝肠吻合术;1例拒绝根治,放弃手术.1例胆道发育不良行开腹扩大肝门、肝肠吻合术.1例胆汁黏稠行胆道冲洗术.结论腹腔镜是诊断新生儿及幼婴胆道疾病简单、可靠的方法.腹腔镜治疗胆道疾病具有微创、美观、出血少、恢复快优特点,临床效果可靠.
Objective To investigate the value of laparoscopic surgery in the diagnosis and treatment of bile duct diseases in newborns and infants. Methods Clinical records of 9 newborns or infants with bile duct diseases diagnosed and treated under laparoscope from January 2003 to August 2004 in this hospital were reviewed retrospectively. Results Laparoscopic exploration in the 9 cases found 2 cases of congenital choledochal cyst, 5 cases of biliary atresia, 1 case of.cholestasis, and 1 case of congenital bile duct hypoplasia. Cholangiography was successfully performed in 8 cases. Two patients with choledochal cyst received an excision of the cyst and Roux-en-Y hepatico-jejunostomy. Among the 5 patients with biliary atresia, hepatic porto-enterostomy was performed via open approach in 3 patients and via laparoscopic approach in 1, and surgery was refused in 1 patient. Open hepatic portoenterostomy was also used in the patient with bile duct hypoplasia. The patient with cholestasis underwent a biliary tract irrigation. Concllasions Laparoscopy is simple and reliable in the diagnosis of bile duct diseases in newborns and infants. For the treatment of bile duct diseases, laparoscopic techniques have advantages of minimal invasion, good cosmetic results, less blood loss, quick recovery, and reliable clinical effects.
出处
《中国微创外科杂志》
CSCD
2005年第9期710-711,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
胆道疾病
新生儿
幼婴
Laparoscopy
Bile duct disease
Newborn
Infant
