腹腔镜胆总管囊肿切除术技术要点。
Technical points of total laparoscopic choledochal cyst excision.
机构信息
Department of Hepatobiliary Surgery, People' Liberation Army General Hospital, Beijing 100853, China.
出版信息
Chin Med J (Engl). 2013 Mar;126(5):884-7.
BACKGROUND
Choledochal cyst excision and biliary enteric reconstruction constitute the best therapy for choledochal cyst. And laparoscopy is currently used to cure this disease now.
METHODS
We retrospectively analyzed the clinical data of 34 cases of total laparoscopic choledochal cyst excision between January 2007 and August 2011. All patients underwent in vitro Roux-en-Y hepatoenterostomy.
RESULTS
All 34 patients underwent successful total laparoscopic choledochal cyst excision. The operation time was 200 - 360 minutes. The duration of hospital stay was 3 - 7 days. Follow-up observations lasted 1 - 56 months. One patient developed an anastomotic stoma stricture, but no other cases had postoperative complications. No patients died.
CONCLUSION
Total laparoscopic choledochal cyst excision is safe and feasible.
背景
胆总管囊肿切除和胆肠重建构成了胆总管囊肿的最佳治疗方法。目前，腹腔镜被用于治疗这种疾病。
方法
我们回顾性分析了 2007 年 1 月至 2011 年 8 月间 34 例完全腹腔镜胆总管囊肿切除术的临床资料。所有患者均行体外 Roux-en-Y 肝肠吻合术。
结果
34 例患者均成功完成完全腹腔镜胆总管囊肿切除术。手术时间为 200-360 分钟。住院时间为 3-7 天。随访观察时间为 1-56 个月。1 例患者发生吻合口狭窄，但无其他术后并发症。无患者死亡。
结论
完全腹腔镜胆总管囊肿切除术是安全可行的。
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