摘要
目的:探讨完全腹腔镜手术治疗成人Ⅰ型先天性胆管扩张症的技术要点,分析此手术方式的安全性和可行性。方法:回顾性分析我科2014年2月~2016年11月收治的9例完全腹腔镜手术治疗的成人Ⅰ型先天性胆管扩张症患者临床资料。结果:所有患者顺利完成完全腹腔镜下胆总管囊肿切除+肝总管空肠Roux-en-Y吻合术,术后顺利出院,手术时间(245.56±45.31)min,术中失血量(84.44±21.86)m L,术后住院时间(5.44±1.13)d,排气时间(2.44±0.53)d,首次进食流质时间(3.11±0.55)d;其中1例患者术后第3天出现腹腔内出血,经DSA栓塞治疗后成功出院。结论:完全腹腔镜手术治疗成人Ⅰ型先天性胆管扩张症具有术中创伤小、出血少,术后恢复快、并发症少等优点,值得临床推广。
Objective：To investigate the technical aspects of complete laparoscopic surgery for type I congenital bile duct dilatation in adults, and assess the safety and feasibility of this surgical modality.Methods ： Clinical data were retrospectively analyzed in 9 adult cases of type I congenital cystic dilatation of common bile duct treated with complete laparoscopy system in our department between February 2014 and November 2016.Results： Choledochal cyst excision with Roux-en-Y hepaticojejunostomy was successfully performed in the 9 patients.Operative time was （245.56±45.31） min,intraoperative blood loss （84.44±21.86） mL, postoperative hospital stay （ 5.44± 1.13 ） d, exhaust time （ 2.44±0.53 ） d, and first start of liquid food intake （ 3.11 ±0.55） d. One patient was complicated with intra-peritoneal hemorrhage on the third day after operation and was successfully managed under DSA.Conclusion：Complete laparoscopy system can be worthy of wider clinical recommendation for type I congenital bile duct dilatation in adults because of its less invasion, lower blood loss in operation, early recovery and fewer complications.
作者
陈琳
马晨阳
张广贤
周固超
胡明华
王小明
CHEN Lin MA Chenyang ZHANG Guangxian ZHOU Guchao HU Minghua WANG Xiaoming(Department of Hepatobiliary Surgery,The First Affiliated Hospital of Wannan Medical College, Wuhu 241001, China)
出处
《皖南医学院学报》
CAS
2017年第4期361-363,共3页
Journal of Wannan Medical College
关键词
腹腔镜
胆肠吻合
先天性胆管扩张症
laparoscopy
hepatic duct jejunum anastomosis
congenital bile duct dilatation
