胆总管囊肿切除术治疗先天性胆总管囊肿的术式比较

目的 评价腹腔镜胆总管囊肿切除术治疗先天性胆总管囊肿患者的疗效.方法 40例先天性胆总管囊肿患者随机分为开腹手术组和腹腔镜手术组,开腹组行开腹胆总管囊肿切除术,腹腔镜组在腹腔镜下采用胆总管囊肿切除术.结果 两组40例手术均顺利完成.腹腔镜组手术时间较开腹组长(P＜0.01);但腹腔镜组术中出血量、肛门排气时间、术后进食时间、术后住院时间以及切口大小等均明显优于开腹组(均P＜0.001);治疗和随访(随访1年)过程中两组未见与手术直接相关的严重并发症.结论 腹腔镜胆总管囊肿切除术治疗先天性胆总管囊肿患者虽然手术时间较开腹组长、费用可能要比开腹组高,但疗效佳、安全.

Comparison of different methods of choledochal cyst excision for treatment of congenital choledochal cyst

Objective:To evaluate the effects of laparoscopic choledochal cyst excision for treatment  of congenital choledochal cyst.
Methods:Forty patients with congenital choledochal cyst were randomly divided into control group and observation group: the control group underwent open abdominal excision of choledochal cyst, while the observation group had laparoscopic resection of choledochal cyst.
Results:The operations of all the 40 cases in the 2 groups were successfully completed.The operative time was longer in the observation group (P＜0.01), but the amount of blood loss,  time to passage of flatus and time for oral intake after operation, postoperative hospitalization time, and the size of incision in the observation group were significantly better than the control group(P＜0.001). The all cases of two groups during treatment and follow-up had no serious complications directly related to surgery.
Conclusions:Laparoscopic choledochal cyst excision is effective and safe in treatment of patients with congenital choledochal cyst，although the operative time is longer, and the cost is higher than the open operation.