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腹腔镜肝空肠吻合术。21例连续病例的初步经验。

Laparoscopic Hepaticojejunostomy. Initial experience in 21 consecutive cases.

作者信息

Janikow Christian, AlIkhwan Maisa, Nasser Mohammed, Bayazeed Ahmed, Alshahrani Esraa

机构信息

King Fahad Hospital Jeddah.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2024 Dec 13;81(4):793-803. doi: 10.31053/1853.0605.v81.n4.44694.

DOI:10.31053/1853.0605.v81.n4.44694
PMID:39670898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11905783/
Abstract

INTRODUCTION

laparoscopic hepaticojejunostomy is a complex procedure indicated for different pathologies. Still, the laparoscopic approach is not the gold standard, but it is well known for its benefits regarding post operative recovery. We present our experience in 21 consecutive cases of laparoscopic hepaticojejunostomy done at King Fahad General Hospital in Jeddah.

METHODS

21 consecutives laparoscopic hepaticojejunostomies were done from January 2022 to December 2023. Gender: 10 male and 11 female, average age 46 years. The most common indication is due to multiple common bile duct stones.

RESULTS

average surgical time: 180 minutes, average blood loss: 168 ml. According to Clavien-Dindo´s classification, we recorded one complication type: 3A. Average discharge days were 5.5; no mortality was reported.

CONCLUSION

We believe that the success of laparoscopic hepaticojejunostomy is related to excellent knowledge of the biliary system and an experienced surgeon in advanced laparoscopic procedures.

摘要

引言

腹腔镜肝空肠吻合术是一种针对不同病理状况的复杂手术。尽管如此，腹腔镜手术方法并非金标准，但它因在术后恢复方面的益处而广为人知。我们介绍在吉达法赫德国王总医院连续进行的21例腹腔镜肝空肠吻合术的经验。

方法

2022年1月至2023年12月连续进行了21例腹腔镜肝空肠吻合术。性别：男性10例，女性11例，平均年龄46岁。最常见的适应症是多发性胆总管结石。

结果

平均手术时间：180分钟，平均失血量：168毫升。根据Clavien-Dindo分类，我们记录了一种并发症类型：3A。平均出院天数为5.5天；未报告死亡病例。

结论

我们认为腹腔镜肝空肠吻合术的成功与对胆道系统的深入了解以及一位在高级腹腔镜手术方面经验丰富的外科医生有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/11905783/141b56a974e9/1853-0605-81-4-793-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/11905783/7283e63398d8/1853-0605-81-4-793-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/11905783/141b56a974e9/1853-0605-81-4-793-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/11905783/7283e63398d8/1853-0605-81-4-793-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b7e/11905783/141b56a974e9/1853-0605-81-4-793-g002.jpg

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