儿童胰管扩张的腹腔镜胰肠吻合术。
Laparoscopic pancreaticojejunostomy for pancreatic ductal dilatation in children.
机构信息
Department of Pediatric Surgery, Capital Institute of Pediatrics, Beijing, China.
出版信息
J Pediatr Surg. 2012 Dec;47(12):2349-52. doi: 10.1016/j.jpedsurg.2012.08.002.
PURPOSE
The application of laparoscopic surgery in pancreatic surgery in children is limited. In this article, we describe laparoscopic pancreaticojejunostomy for children with congenital pancreatic ductal dilatation.
METHODS
Four children with recurrent pancreatitis and pancreatic ductal dilatation underwent laparoscopic pancreaticojejunostomy between July 2009 and November 2011. Longitudinal incision of the dilated pancreatic ducts and side-to-side Roux-Y pancreaticojejunostomy were performed.
RESULTS
Operative time ranged from 103 to 154 min, and blood loss was minimal. The average postoperative hospital stay was 4 to 6 days. There were no pancreatic leaks. None of the patients experienced recurrence of pancreatitis.
CONCLUSIONS
Laparoscopic pancreaticojejunostomy for children with congenital pancreatic ductal dilatation is safe and effective.
目的
腹腔镜手术在儿童胰腺手术中的应用受到限制。本文介绍了腹腔镜胰肠吻合术在儿童先天性胰管扩张症中的应用。
方法
2009 年 7 月至 2011 年 11 月，我们对 4 例复发性胰腺炎和胰管扩张的患儿施行腹腔镜胰肠吻合术。行扩张胰管的纵向切开和胰肠端侧 Roux-Y 吻合术。
结果
手术时间为 103-154 分钟，术中出血少。术后平均住院时间为 4-6 天。无胰漏发生。无胰腺炎复发。
结论
腹腔镜胰肠吻合术治疗儿童先天性胰管扩张症是安全有效的。
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