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小宫山2型胰胆管合流异常：微创外科治疗（附视频）

Komi type 2 pancreaticobiliary maljunction: Minimal access surgical treatment (with video).

作者信息

Pereira Graterol Freddy, Salazar Marcano Francisco, Rivero-Moreno Yeisson, Venales Barrios Yajaira

机构信息

Minimal Access Surgical Unit, Dr. Luís Razetti University Hospital, Barcelona, Venezuela.

Faculty of Medicine, University of Oriente, Barcelona, Venezuela.

出版信息

Ann Hepatobiliary Pancreat Surg. 2024 Aug 31;28(3):393-396. doi: 10.14701/ahbps.24-063. Epub 2024 Jun 13.

DOI:10.14701/ahbps.24-063
PMID:38867652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11341884/
Abstract

Pancreaticobiliary maljunction (PBM) is associated with the development of neoplasms of bile ducts. Cholecystectomy with diversion of the biliary-pancreatic flow is considered the treatment of choice. To describe the surgical treatment employed for a patient with Komi's type 2 PBM and its long-term results. Laparoscopic common bile duct exploration, intraoperative cholangioscopy, and Roux-en-Y hepatico-jejunostomy were performed. Postoperative evolution was satisfactory. The patient was discharge 72 hours after the surgery. There was no associated morbidity. At 62-month follow-up, clinical examination, laboratory tests, and imaging studies confirmed an adequate patency of bilio-enteric anastomosis. The surgical approach employed was effective and safe, with satisfactory long-term results.

摘要

胰胆管合流异常（PBM）与胆管肿瘤的发生有关。胆囊切除术并改变胆胰管引流方向被认为是首选治疗方法。描述用于一名科米2型PBM患者的手术治疗方法及其长期效果。进行了腹腔镜胆总管探查、术中胆管镜检查和 Roux-en-Y 肝空肠吻合术。术后恢复情况良好。患者术后72小时出院。无相关并发症。在62个月的随访中，临床检查、实验室检查和影像学研究证实胆肠吻合口通畅良好。所采用的手术方法有效且安全，长期效果令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b90/11341884/e5ee86813b4c/ahbps-28-3-393-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b90/11341884/584ba8986d08/ahbps-28-3-393-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b90/11341884/da1d12a248c5/ahbps-28-3-393-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b90/11341884/8c1f6567e17d/ahbps-28-3-393-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b90/11341884/e5ee86813b4c/ahbps-28-3-393-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b90/11341884/584ba8986d08/ahbps-28-3-393-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b90/11341884/da1d12a248c5/ahbps-28-3-393-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b90/11341884/8c1f6567e17d/ahbps-28-3-393-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b90/11341884/e5ee86813b4c/ahbps-28-3-393-f4.jpg

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本文引用的文献

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Pancreaticobiliary maljunction without biliary dilatation in pediatric patients.儿童患者胰胆管合流异常而无胆管扩张。
Surg Today. 2022 Feb;52(2):207-214. doi: 10.1007/s00595-021-02322-5. Epub 2021 Jun 19.
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Imaging of Pancreaticobiliary Maljunction.胰胆管合流异常的影像学表现。
Radiographics. 2020 Mar-Apr;40(2):378-392. doi: 10.1148/rg.2020190108. Epub 2020 Jan 17.
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Pancreaticobiliary Maljunction: Markedly High Risk for Biliary Cancer.胰胆管合流异常：胆管癌的显著高风险因素
Digestion. 2019;99(2):123-125. doi: 10.1159/000490816. Epub 2018 Sep 4.
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Pancreaticobiliary maljunction and congenital biliary dilatation.胰胆管合流异常与先天性胆管扩张症。
Lancet Gastroenterol Hepatol. 2017 Aug;2(8):610-618. doi: 10.1016/S2468-1253(17)30002-X.
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Classification of pancreaticobiliary maljunction and clinical features in children.儿童胰胆管合流异常的分类及临床特征。
J Hepatobiliary Pancreat Sci. 2017 Aug;24(8):449-455. doi: 10.1002/jhbp.485. Epub 2017 Jul 31.
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Comparison of therapeutic effects of laparoscopic and open operation for congenital choledochal cysts in adults.成人先天性胆总管囊肿腹腔镜与开腹手术治疗效果比较。
Gastroenterol Res Pract. 2014;2014:670260. doi: 10.1155/2014/670260. Epub 2014 Feb 25.
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Pancreatic complications in pediatric choledochal cysts.小儿先天性胆总管囊肿的胰腺并发症。
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J Hepatobiliary Pancreat Sci. 2014 Feb;21(2):87-92. doi: 10.1002/jhbp.8. Epub 2013 Jun 20.
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J Hepatobiliary Pancreat Sci. 2013 Jun;20(5):472-80. doi: 10.1007/s00534-013-0606-2.
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