Department of General Surgery, Shenzhen Children Hospital, Shenzhen 518026, Guangdong, China.
J Pediatr Surg. 2012 Dec;47(12):2175-8. doi: 10.1016/j.jpedsurg.2012.09.004.
This study aims to review our center's early experience in managing children with choledochal cysts using laparoscopic excision.
A retrospective study was carried out from the time of our first case of laparoscopic excision (2010). A total of 41 patients with choledochal cysts underwent laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy. Patient demographics, operative data, and post-operative outcomes were recorded and analyzed.
Forty patients underwent the operation successfully, and the mean time of operation was 210 min (range 140 min to 380 min). One case was converted to an open operation due to dense adhesions. All patients recovered uneventfully and were discharged between seven and ten days post-operatively. Four patients suffered minor bile leaks after their operations, but they required only percutaneous drainage. The mean time for follow-up was six months (range 1 month to 1 year). No significant complication was noted during that time.
We successfully introduced laparoscopic excision of choledochal cyst in our center and have found this to be a safe and effective method. Long-term follow up is awaited.
本研究旨在回顾我们中心采用腹腔镜切除治疗胆总管囊肿患儿的早期经验。
对我院首例腹腔镜切除手术（2010 年）以来的病例进行回顾性研究。共 41 例胆总管囊肿患儿接受腹腔镜胆总管囊肿切除和 Roux-en-Y 肝肠吻合术。记录并分析患者的人口统计学、手术数据和术后结果。
40 例患者手术成功，手术时间平均为 210 分钟（范围 140 分钟至 380 分钟）。1 例因粘连致密而转为开腹手术。所有患者均顺利恢复，术后 7 至 10 天出院。4 例患者术后出现轻微胆漏，但仅需经皮引流。平均随访时间为 6 个月（范围 1 个月至 1 年）。在此期间未发现明显并发症。
我们成功地在我院引入了腹腔镜切除胆总管囊肿，并发现这是一种安全有效的方法。尚需长期随访。
