腹腔镜胆总管囊肿切除术(附48例报告) |
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引用本文: | 王淑芹,余奇志,付京波,李龙.腹腔镜胆总管囊肿切除术(附48例报告)[J].北京大学学报(医学版),2004,36(3):294-296. |
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作者姓名: | 王淑芹 余奇志 付京波 李龙 |
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作者单位: | 北京大学第一医院小儿外科,北京,100034;北京大学第一医院小儿外科,北京,100034;北京大学第一医院小儿外科,北京,100034;北京大学第一医院小儿外科,北京,100034 |
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摘 要: | 目的:总结腹腔镜下胆总管囊肿切除、胆道重建手术治疗先天性胆总管囊肿的经验.讨论术中及术后的治疗问题.方法:回顾2001年8月至2003年10月间经腹腔镜行胆道造影、胆囊切除、囊肿切除,探查肝管,肝管空肠Roux-en-Y吻合 防返流瓣手术48例,并对手术方法和手术目的进行分析.结果:48例中腹腔镜下顺利完成44例(91.7%),2例因以前手术,肠粘连严重,中转开腹手术.另2例因囊肿过大,腹腔镜探查操作困难,中转开腹手术.术后并发症4例(8.3%),2例粘连性肠梗阻,再次手术.另2例吻合口漏,再次手术重新吻合.结论:腹腔镜下完成胆总管囊肿切除,肝管空肠Roux-en-Y吻合术.手术创伤小,出血少,恢复快.
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关 键 词: | 胆总管囊肿 外科手术 腹腔镜 胆道外科手术 吻合术 Roux-en-Y |
文章编号: | 1671-167X(2004)03-0294-03 |
修稿时间: | 2003年12月5日 |
Laparoscopic choledochocele resection,report of 48 cases |
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Abstract: | Objective: To summarize surgery experience and efficiency of laparoscopic excision of choledochal cyst and reconstruction of biliary tract and to analyze the treatments administered during intra and post-operation of the biliary reconstruction. Methods: We enrolled 48 cases of video-guided laparoscopic intraoperative cholangiography, cholecystectomy, choledochocele resection, Roux-en-Y hepaticojejunostomy with an anti-reflux valve from August, 2001 to October, 2003.Their operative procedures and aims were retrospectively analyzed. Results: Forty-four out of 48 patients successfully underwent laparoscopy and recovered soon. Only 4 cases were transformed to open operation. The post-operation complications were found in 4 cases. Conclusion: Video-guided laparoscopic excision of choledochal cyst, biliary tract reconstruction and Roux-en-Y hepaticojejunostomy are an effective method of treatment with advantages of minimal injury, less bleeding, and sooner recovery. |
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Keywords: | Choledochal cyst Surgical procedures laparoscopic Biliary tract surgical procedures Anastomosis Roux-en-Y |
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