临床小儿外科杂志Issue(1)：38-40,3.DOI:10.3969/j.issn.1671-6353.2016.01.011
经腹腔镜手术治疗3个月内婴儿先天性胆总管囊肿
Laparoscopic-assisted treatments of congenital choledochal cyst in 3 months infant
周崇高 1王海阳 1许光 1邹婵娟 1夏仁鹏 1赵凡 1马体栋 1李碧香1
作者信息
- 1. 湖南省儿童医院新生儿外科湖南省长沙 市，410007
- 折叠
摘要
Abstract
Objetive To study the treatment efficiency and the feasibility of in laparoscopic-assisted to-tal cyst excision of choledochal cyst with Roux-en-Y hepatoenterostomy in 3 months infant.Methods A retro-spective analysis was made on 41 cases of choledochal cyst under 3 months infants treated in our hospital from July 2010 to July 2015.Among them,28 were female and 13 were male,with their age ranging from 8 day to 89 days (mean 50.2 ±23 days),and the choledochal cysts were all cyst type.Their weight ranged from 2.7 to 6. 47 kg(mean 4.47 ±1.01).Among all the cases,33 patients were found with jaundice,8 with Stools colorless,7 with white pottery clay;31 with transaminase elevation in the preoperative examination.The operation method was laparoscopic-assisted total cyst excision of choledochal cyst with Roux-en-Y hepatoenterostomy. Re-sults Laparoscopic operation was finished successfully in 40 infants.The operating time varied from 117 to 296 minutes (mean,186 ±42 minutes).The blood loss was less than 5 mL,1 infant conversion to laparotomy be-cause Injuries to the portal vein,the blood loss was about 50 mL.Neither were there any operative complication such as intestinal fistula,biliary fistula and pancreatic fistula.28 infants were received liver biopsy,hepatic fi-brosis were found in 22 infants.Follow-up occurred between 5 and 53 months postdischarge,and had no compli-cations such as bile duct stricture,cholangitis and adhesive intestinal obstruction. Conclusions Infants who age under 3 months are more liable to develop complications such as liver damage and hepatic fibrosis,Laparo-scopic-assisted cyst excision of choledochal cyst with experienced surgeon is feasible and safe.关键词
腹腔镜/胆总管囊肿/治疗/婴儿Key words
Laparoscopes/Choledochal Cyst/Therapy/Infant引用本文复制引用
周崇高,王海阳,许光,邹婵娟,夏仁鹏,赵凡,马体栋,李碧香..经腹腔镜手术治疗3个月内婴儿先天性胆总管囊肿[J].临床小儿外科杂志,2016,(1):38-40,3.
