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腹腔镜胆肠吻合术治疗恶性梗阻性黄疸
引用本文:马德奎,彭和平,邵子力,卢海武,梁建中,肖辉骏. 腹腔镜胆肠吻合术治疗恶性梗阻性黄疸[J]. 腹腔镜外科杂志, 2004, 9(2): 74-75
作者姓名:马德奎  彭和平  邵子力  卢海武  梁建中  肖辉骏
作者单位:肇庆卫生学校附属医院,广东,肇庆,526020;广州医学院第二附属医院
摘    要:目的 :探讨腹腔镜胆囊空肠吻合术治疗恶性梗阻性黄疸的效果。方法 :5例晚期胰腺癌经腹腔镜和腹腔镜超声探查分期后行腹腔镜胆囊空肠吻合及胃空肠吻合术 ,3例采用吻合器、2例行手工缝合完成手术。结果 :5例腹腔镜手术均顺利完成 ,平均手术时间 1 2 0min ,平均住院 7d ,无腹腔镜手术并发症 ,平均随访 8个月生存良好。结论 :腹腔镜胆肠吻合术治疗恶性梗阻性黄疸疗效可靠 ,可作为微创姑息治疗的新途径。

关 键 词:黄疸  梗塞性  胆肠吻合术  腹腔镜术
文章编号:1009-6612(2004)02-0074-02
修稿时间:2004-01-04

Laparoscopic cholecystojejunostomy in the treatment of malignant obstructive jaundice
MA De kui ,PENG He ping ,SHAO Zi li ,et al. Laparoscopic cholecystojejunostomy in the treatment of malignant obstructive jaundice[J]. Journal of Laparoscopic Surgery, 2004, 9(2): 74-75
Authors:MA De kui   PENG He ping   SHAO Zi li   et al
Affiliation:MA De kui 1,PENG He ping 2,SHAO Zi li 2,et al
Abstract:Objective:To explore the effects of laparoscopic cholecystojejunostomy in the treatment of malignant obstructive jaundice.Methods:5 patients with unresectable pancreatic cancer determined by laparoscopic staginging with LUS were performed on laparoscopic cholecystojejunostomy (in all five cases) and gastrojejunostomy (in two cases),with the anastomoses completed by linear cutter in three cases and hand sutured techniques in two cases.Results:The laparoscopic operations were successfully performed on 5 patients with the operation time of average 120 min,hospitalization of average 7 days,and without operative complications.All patients survive well during the follow up of average 8 months.Conclusions:Laparoscopic or laparoscopic assisted cholecystojejunostomy provides a safe and efficient minimally invasive method for malignant obstructive jaundice.
Keywords:Jaundice  obstructive  Cholecystojejunostomy  Laparoscopy
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