摘要
目的总结先天性胆总管囊肿诊治经验。方法回顾性分析2014年6月—2016年6月期间收治16例先天性胆总管囊肿患儿的临床资料。结果 13例腹腔镜下顺利完成手术,手术时间平均3.5 h(3~4.5 h),出血量10~30 m L,未输血;3例中转开腹手术,其中1例合并先天性肠旋转不良,1例术前曾行胆囊外引流致腹腔粘连严重,1例因术中出血严重及时中转手术。未发生术后并发症。结论经腹腔镜胆总管囊肿切除,肝总管空肠Roux-en-Y吻合术是治疗先天性胆总管囊肿的理想方法 ,术中胆道造影对避免损伤胆胰管连接部和处理肝内胆管狭窄有重要意义。
Objective To summairze the diagnosdis and treatment expeirnce of congenital choledochal cyst. Methods The clinical data of 16 cases of children with congenital choledochal cyst from June 2014 to June 2016 were retrospectively analyzed. Results 13 cases succesfully finished the laparoscopic surgery, and the average operation time was 3.5 h(3~4.5 h)and the bleeding amount was 10 ~30 m L, no blood transfusion, 3 cases were converted to open surgery, including 1 case with congenital malrotation of intestine, 1 case with severe abdominal adhesion caused by external biliary drainage of gall bladder, 1 case was converteed to surgery due to severe bleeding in operation, and there were no postoeprative complications. Conclusion The Roux-en-Y anastomosis of common hepatic duct is an ideal method in treatment of congenital choledochal cyst, and intraoperative cholangiography is of important significance to avoiding the injury of biliary and pancreatic junctions and hanlding the intrahepatic bileduct stenosis.
出处
《中外医疗》
2017年第24期52-54,共3页
China & Foreign Medical Treatment
关键词
胆总管囊肿
胆道造影
腹腔镜术
Choledochal cyst
Cholangiography by cystic duct
Laparoscopic surgery
