囊肿切除肝总管空肠Roux-en-Y吻合术治疗先天性胆管囊肿

目的 观察囊肿切除肝总管空肠Roux-en-Y吻合术治疗小儿先天性胆管囊肿的疗效。方法 采用囊肿切除肝总管空肠Roux-en-Y吻合术治疗小儿先天性胆管囊肿56例。结果 56例患儿手术全部成功。术后患儿胆管囊肿症状消失，肝胆系统结构和功能均恢复正常。术后并发胆道感染1例，腹膜炎1例，肺炎3例，无胆瘘和伤口感染者，无死亡病例。结论 囊肿切除肝总管空肠Roux-en-Y吻合术是治疗小儿先天性胆管囊肿的有效术式。

Roux-en-Y hepaticojejunostomy after the cyst resection for eongenital biliary duet eyst in Children

[Objective] To observe the effect of Roux-en-Y hepaticojejunostomy after cyst resection in chindren with congenital billary duct cyst. [Methods] 56 children with congenital biliary duct cyst were treated by Roux-en-Y hepaticojejunostomy after cyst resection. [Results] All operations were proved to be successful. Their symptoms had disappeared, the structures and function of liver and gall system resumed to normal. 1 cases had biliary tract infection after operation, 1 peritonitis and 3 pneumonia were found respectively. There was no cases associated with biliary fistula, wound infection and death. [Conclusion] Roux-en-Y hepaticojejunostomy after cyst resection is an effective approach of operation for chindren with congenital choledochal cyst.