摘要
目的探讨完全腹腔镜下成人先天性胆总管囊肿切除、肝总管空肠Roux-en-Y吻合术的可行性、安全性及其临床应用价值。方法回顾性分析2008年5月至2011年2月期间收治的采用完全腹腔镜囊肿切除、肝总管空肠Roux-en-Y吻合手术治疗的7例成人先天性胆总管囊肿患者的临床资料。结果所有手术顺利，无中转开腹。平均手术时间210min，出血量80ml。术后第1日患者离床活动，平均2．4d排气或排便。除1例术后有少量胆汁漏外，无严重术后并发症发生，均恢复顺利，平均住院时间8．1d。术后随访3～30个月，无腹痛、发热或黄疸等症状。结论完全腹腔镜成人先天性胆总管囊肿切除、肝总管空肠Roux-en-Y术安全可行，具有创伤小、恢复快的优点，值得推广。
Objective To study the feasibility, safety and efficacy of laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy for adult congenital choledochal cyst. Method A retrospective study was conducted on 7 adult patients with congenital choledochal cyst who received total laparo-scopic cyst excision and Roux-en-y hepaticojejunostomy from May 2008 to February 2011 in the De-partment of General Surgery of Shengjing Hospital, China Medical University. Results All the lapa-roscopic surgery was successful. The mean operation time was 210 minutes. The average intraopera-tive blood loss was 80 ml. All patients were out of bed within the first 24 h after surgery. The mean time to first flatus/bowel motion was 2.4 days. Except 1 patient who had small amount of bile leak-age, all patients recovered smoothly without any major postoperative complications. The average hos-pital stay was 8.1 days. No patients suffered from abdominal pain, fever or jaundice during follow-up from 3 to 30 months. Conclusion Total laparoscopic cyst excision and Roux-en-Y hepatieojejunosto-my was a safe, efficacious, and minimally invasive procedure.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2012年第5期365-367,共3页
Chinese Journal of Hepatobiliary Surgery
基金
十一五国家科技支撑计划课题（2006BAl05A06）
辽宁省自然科学基金（20092128）
关键词
腹腔镜
先天性胆总管囊肿
手术
Laparoscopy
Congenital choledochal cyst
Operation
