临床小儿外科杂志2024，Vol.23Issue(1)：10-15,6.DOI:10.3760/cma.j.cn101785-202306038-003
改良脐部切口单孔腹腔镜胆总管囊肿根治术的安全性与有效性初探:一项回顾性队列研究
Preliminary study of the safety and efficacy of modified single-incision laparoscopy for choledochal cysts:a retrospective cohort study
摘要
Abstract
Objective To explore the safety and efficacy of single-port lapamscopic choledochal cyst ex-cision and Roux-en-Y hepaticojejunostomy(SPCH).Methods Between January 1,2018,and December 31,2022,62 consecutive cases of choledochal cysts were recruited.The procedure was either SPCH(n=43)or multiple-port laparoscopic choledochal cysts excision and Roux-en-Y hepaticojejunostomy(MPCH)(n=19).Magnetic resonance cholangiopancreatography(MRCP)was performed.Baseline clinical characteristics,short-term efficacy and safety outcomes were examined through reviewing the relevant medical records.Results No significant inter-group differences existed in such baseline clinical characteristics as gender,operative age,To-dani classification,clinical presentation,prenatal diagnosis & longest diameter of cyst.Average postoperative hospitalization stay of SPCH group was shorter than that of MPCH group(7.14±2.70 vs.7.58±3.27 day,P=0.892).However,the inter-group difference was not statistically significant.Operative duration(266.79± 69.39 vs.277.32±90.23 min,P=0.913)and volume of blood loss(8.88±12.37 vs.16.68±34.84 mL,P=0.758)were similar between two groups.MPCH group had a significantly higher number of drainage tubing than SPCH group(11 vs.7;P=0.0009).One child in SPCH group developed stenosis after hepaticojejunosto-my.During follow-ups,no other complications occurred.Conclusions SPCH is as safe and effective as MPCH for choledochal cysts.It helps to lower the difficulty of single-incision laparoscopy.关键词
胆总管囊肿/先天性胆管扩张症/微创手术/快速康复外科/外科手术/儿童Key words
Choledochal Cysts/Congenital Biliary Dilatation/Minimally Invasive Surgery/Enhanced Recovery/Surgical Procedures,Operative/Child引用本文复制引用
王哲,余家康,何秋明,钟微..改良脐部切口单孔腹腔镜胆总管囊肿根治术的安全性与有效性初探:一项回顾性队列研究[J].临床小儿外科杂志,2024,23(1):10-15,6.基金项目
广东省医学科学技术研究基金(2022111719927242)Medical Science & Technology Research Foundation of Guangdong Province(2022111719927242) （2022111719927242）
