临床小儿外科杂志Issue(1)：14-19,6.DOI:10.3969/j.issn.1671-6353.2016.01.005
保留肝门部纤维板和肝肠浅缝吻合在 Kasai手术的应用
The technique of preserving fibrosis plate and shallow suture used in Kasai portoenterostomy
摘要
Abstract
Objetive To explore the technique of preserving fibrosis plate and shallow suture used in Kasai portoenterostomy (KPE). Methods A retrospective analysis was made on the BA (Inclusive criteria:Ohi type Ⅲ,preoperative age <120ds,without other congenital malformation)with KPE in our union from Mar. 2012 to Dec.2014.The cases were divided into three groups according types of KPE which was extend portoen-terostomy (EPE),our modified Kasai portoenterostomy (MKPE)based on the technique of preserving fibrosis plate and shallow suture used in hepatoportoenterostomy,laparoscopic MKPE (LMKPE)respectively.The pre-operative demographic characteristic,postoperative bile drain (BD),rate of jaundice free (JF),rate of cholan-gitis occurred (CO),calculative survival rate of native liver (SNL)were compared in groups.Results Among all the cases,31 were in EPE,23 in MKPE,and 14 in LMKPE.There was no difference in age,weight,preopera-tive index of liver function,Ohi subtype of extrahepatic bile duct and Weerasooriya’s grade of liver fibrosis in groups (P >0.05).In BD,there was no difference in groups during 1 week (P >0.05),but at the time of 2,6 weeks ,MKPE,LMKPE were higher than EPE(P <0.05)but MKPE showed no difference with LMKPE(P >0.05).There were higher JF ratio and SNL in MKPE (87%,87%)and LMKPE (85.7%,85.7%)than EPE (41.9%,41.9%)(P <0.05),but no difference in MKPE compared to LMKPE (P >0.05).In CO,there was no difference in groups of EPE (22.6%),MKPE(34.8%),LMKPE(14.3%)(P >0.05). Conclusion-s Applying the technique of preserving fibrosis plate and shallow suture used in hepatoportoenterostomy in KPE can be advantage to better outcome of BA.关键词
胆道闭锁/吻合术/手术/存活率Key words
Biliary Atresia/Anastomosis/Surgical/Survival Rate引用本文复制引用
董淳强,董昆,张诚,刘如意,刘强,陈超,杨体泉..保留肝门部纤维板和肝肠浅缝吻合在 Kasai手术的应用[J].临床小儿外科杂志,2016,(1):14-19,6.基金项目
广西壮族自治区卫生厅计划课题，项目号Z2014026。 （）
