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学科主题: 临床医学
题名:
Laparoscopic-assisted total cyst excision of choledochal cyst and Roux-en-Y hepatoenterostomy
作者: 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
发表日期: 2004-11-01
DOI: 10.1016/j.jpedsurg.2004.07.012
卷: 39, 期:11, 页:1663-1666
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Pediatrics ; Surgery
研究领域[WOS]: Pediatrics ; Surgery
关键词[WOS]: BILE-DUCT
英文摘要:

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.

语种: 英语
WOS记录号: WOS:000225445100012
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54430
Appears in Collections:北京大学第一临床医学院_小儿外科_期刊论文

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作者单位: Peking Univ, Affiliated Hosp, Dept Pediat Surg, Beijing 100034, Peoples R China

Recommended Citation:
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.
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