临床小儿外科杂志2024，Vol.23Issue(3)：238-241,4.DOI:10.3760/cma.j.cn101785-202312021-007
直线切割吻合器在儿童腹腔镜胆总管囊肿根治术Roux-en-Y吻合中的应用
Application of linear cutting stapler in Roux-en-Y during laparoscopiccholedochal cyst radical surgery in children
摘要
Abstract
Objective To explore the clinical efficacy,feasibility and safety of linear cutting stapler in Roux-en-Y during laparoscopic choledochal cyst radical surgery in children.Methods Between January 2020 and January 2023,34 children undergoing Roux-en-Y after choledochal cyst radical surgery were enrolled.They were randomized into two groups of control(n=17)and observation(n=17).Control group underwent Roux-en-Y with traditional sutured method,while observation group underwent Roux-en-Y with linear cutting stapler.The operation time,intraoperative blood loss,postoperative intestinal function recovery time,initial feeding time,removal time of drainage tube,postoperative hospitalization stay,total hospitalization expense and postoperative complication rate in two groups were compared.Results All operations were successful without any conver-sion.Operative duration[(130.43±31.32)vs.(141.51±30.39)min]and intraoperative volume of blood loss[(55.45±20.73)vs.(58.62±22.13)mL]had no statistical differences.As compared with control group,observation group was shorter with regards to time of postoperative intestinal function recovery[(4.03± 0.42)vs.(4.91±1.13)min],initial feeding time[(3.95±0.61)vs.(4.88±1.09)day],removal time of drainage tube[(5.95±0.68)vs.(6.65±1.28)day]and postoperative hospitalization stay[(8.29±2.17)vs.(10.33±2.18)day](P＜0.05).During a follow-up period of 6 months,no significant inter-group differ-ence existed in total hospitalization expense[(34 948.17±1 019.57)vs.(35 151.91±1 151.15)yuan]or the incidence of complications[1/17 vs.2/17](P＞0.05).Conclusions Linear cutting stapler has the same effectiveness and safety as traditional suturing techniques in Roux-en-Yin laparoscopic choledochal cyst radical surgery in children,and is worth it of clinical promotion and application.关键词
胆总管囊肿/腹腔镜/Roux-en-Y/直线切割吻合器/外科手术/儿童Key words
Common Bile Duct Cyst/Laparoscopic/Roux-En-Y/Linear Cutting Stapler/Surgical Pro-cedures,Operative/Child引用本文复制引用
刘登辉,李勇,黎明,唐湘莲,黄召,向强兴,周宇翔..直线切割吻合器在儿童腹腔镜胆总管囊肿根治术Roux-en-Y吻合中的应用[J].临床小儿外科杂志,2024,23(3):238-241,4.基金项目
湖南省临床医疗技术创新引导项目(2020SK50501) （2020SK50501）
湖南省自然科学基金-面上项目(2023JJ30323) （2023JJ30323）
湖南省儿童实体瘤临床医学研究中心项目(2023SK4058) Hunan Provincial Project of Clinical Medical Technology Innovation Guidance(2020SK50501) （2023SK4058）
General Project of Natural Science Foundation of Hunan Province(2023JJ30323) （2023JJ30323）
Hunan Provincial Clinical Medical Research Center for Solid Tumors in Children(2023SK4058) （2023SK4058）
