|Laparoscopic-assisted total cyst excision of choledochal cyst and Roux-en-Y hepatoenterostomy|
|Long, L; Wang, F; Fu, JB; Yu, QZ; Liu, G; Huang, LM; Lei, Y; Jia, J|
|关键词||Choleclochal Cyst Hepatojejunostomy Laparoscopic Surgery|
|刊名||JOURNAL OF PEDIATRIC SURGERY|
|WOS标题词||Science & Technology|
|类目[WOS]||Pediatrics ; Surgery|
|研究领域[WOS]||Pediatrics ; Surgery|
Purpose: The aim of this study was to describe the technical experience and outcome in laparoscopic-assisted total cyst excision of choleclochal cyst with Roux-en-Y hepatoenterostomy.
Methods: Thirty-five patients with choleclochal cyst were studied. Their age ranged from 3 months to 9 years (average age, 3.6 years). The choleclochal cysts were cyst type in 33 cases and fusiform type in the other 2 cases. Four trocars were utilized with 3- to 5-mm instrumentation. Under laparoscopic guidance, the gallbladder and the dilated bile duct were excised completely. The Roux-en-Y jejunojejunostomy was performed extracorporeally by exteriorizing the jejunum through the extending umbilical incision (1.5 to 2 cm), and an end-to-side hepaticojejunostomy was carried out intracorporeally by the hand suture methods.
Results: Average duration of operation was 4.3 hours (range, 3.5 to 7.6 hours), intraoperative blood loss was 5 to 10 mL, and 8 of the 35 patients had associated hepatic ductal stenosis and underwent laparoscopic excision of the cyst and ductoplasty. In 1 of the 8 cases, bile leak was noticed from day 1 through 26 postoperatively. The postoperative course was uneventful in the other 34 patients with a hospital postoperative stay ranging from 3 to 6 days. There were no postoperative complications in the 3-month to 11/2-year follow-up.
Conclusions: Laparoscopic-assisted total cyst excision with Roux-en-Y hepatoenterostomy is feasible for the treatment of choledochal cyst in children. (C) 2004 Elsevier Inc. All rights reserved.
|作者单位||Peking Univ, Affiliated Hosp, Dept Pediat Surg, Beijing 100034, Peoples R China|
|Long, L,Wang, F,Fu, JB,et al. Laparoscopic-assisted total cyst excision of choledochal cyst and Roux-en-Y hepatoenterostomy[J]. JOURNAL OF PEDIATRIC SURGERY,2004,39(11):1663-1666.|
|APA||Long, L.,Wang, F.,Fu, JB.,Yu, QZ.,Liu, G.,...&Jia, J.(2004).Laparoscopic-assisted total cyst excision of choledochal cyst and Roux-en-Y hepatoenterostomy.JOURNAL OF PEDIATRIC SURGERY,39(11),1663-1666.|
|MLA||Long, L,et al."Laparoscopic-assisted total cyst excision of choledochal cyst and Roux-en-Y hepatoenterostomy".JOURNAL OF PEDIATRIC SURGERY 39.11(2004):1663-1666.|