摘要
目的探讨腹腔镜手术治疗儿童胆总管囊肿的可行性及手术技巧。方法 2010年7月至2011年9月我院在腹腔镜下手术治疗儿童胆总管囊肿病例6例,术前均通过彩超、MRCP诊断,患儿体温、血象正常,营养状况好转后实施腹腔镜下行胆总管囊肿切除、肝管空肠Roux-Y吻合术。结果 5例患儿在腔镜下顺利完成手术,手术时间2.5-5.5h,术中出血约10-20ml,术后恢复顺利。术后随访6-14个月,无并发症发生。1例因术中囊肿分离困难,中转开腹。结论腹腔镜手术治疗儿童胆总管囊肿手术损伤小,恢复顺利,具有可行性,但需要具备一定的手术技巧。
Objective To study the feasibility and surgery experience of laparoscopic total cyst excision with Roux-en-Y hepatoenterostomy for choledochal cyst in children. Methods From July 2010 to September 2011, 6 patients in children with choledochal cyst who had undergone laparoscopic total cyst excision with Roux-en-Y hepatoenterostomy were analyzed retrospectively; The diagnosis was made based on the color doppler and MRCP. The patients were not operated until temperature and leukocyte of blood were normal. Results 5 patients successfully underwent laparoscopy and recovered soon. The operating time was between 2.5 hours and 5.5 hours. Amount of bleeding was less than 20ml.1 patient was transformed to open operation for the difficulty of cyst excision. Conclusion Laparoscopic total cyst excision with Roux-en-Y hepatoenterostomy for choledochal cyst in children is feasible and safe with advantages of minimal injury, less bleeding,and sooner recovery.The operaters must use laparoscopic skillfully and master the characteristic of the laparoscopic operate in children.
出处
《江西医药》
CAS
2012年第1期18-20,共3页
Jiangxi Medical Journal
基金
江西省卫生厅科计划项目编号:(20104012)
关键词
胆总管囊肿
腹腔镜
外科手术
儿童
Choledochal cyst
Laparoscopic
Surgical procedures
Children
