外科理论与实践2013，Vol.18Issue(4)：376-379,4.DOI:10.3969/j.issn.1007-9610.2013.04.016
腹腔镜胆总管十二指肠吻合术治疗恶性梗阻性黄疸
Laparoscopic choledochoduodenostomy for malignant obstructive jaundice
蒋培强 1纪柏 1刘凯 1张威 1刘亚辉1
作者信息
- 1. 吉林大学白求恩第一医院肝胆胰腺外科,长春130021
- 折叠
摘要
Abstract
Objective To summarize the clinical data of patients with laparoscopic choledochoduodenostomy to study the application of laparoscopic choledochoduodenostomy in the treatment of malignant obstructive jaundice.Methods A retrospective analysis was performed on 96 patients with laparoscopic choledochoduodenostomy for malignant obstructive jaundice from Jun 2009 to Oct 2012 and the patients were follow-up.Results The mean operation time was (103±43)(45-215) min and mean blood loss was 20 mL.Six cases had early complications postoperatively of which 2 cases with intraabdominal bleeding were re-operated and 3 cases had bile leak and 1 case abdominal infection.The median postoperative stay was (9±2) (3-14) days.Long-term complications were found in 4 cases by postoperative follow-up.Two cases with duodenal obstruction were treated by gastrointestinal anastomosis.The other two cases had recurrence of obstructive jaundice of which one case was given ERCP and another PTCD.The median survival for the patients postoperative was (7.6±2.8)(2-24) months.Conclusions Laparoscopic choledochoduodenostomy is a safe and feasible surgical choice for the palliative treatment of malignant obstructive jaundice.It has many advantages such as exact therapeutic effect,minimally invasive surgical trauma,less pain and quicker recovery with fewer complications.关键词
胆总管十二指肠吻合/腹腔镜/梗阻性黄疸/胆总管造口术Key words
Choledochoduodenostomy/ Laparoscopic/ Obstructive jaundice/ Choledochostomy分类
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蒋培强,纪柏,刘凯,张威,刘亚辉..腹腔镜胆总管十二指肠吻合术治疗恶性梗阻性黄疸[J].外科理论与实践,2013,18(4):376-379,4.
