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学科主题: 临床医学
题名:
Laparoscopic Hepatojejunostomy for Biliary Atresia
作者: Liu, Shu-Li2; Li, Long1; Cheng, Wei3,4,5; Hou, Wen-Ying1; Huang, Liu-Ming2; Wang, Wen-Ya; Zhang, Jun1
刊名: JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
发表日期: 2009-04-01
DOI: 10.1089/lap.2008.0119.supp
卷: 19, 页:S31-S35
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Surgery
研究领域[WOS]: Surgery
关键词[WOS]: CHOLEDOCHAL CYST ; BILE-DUCT
英文摘要:

Purpose: The aim of this study was to evaluate the feasibility of laparoscopic hepatojejunostomy for types I and II biliary atresia (BA).

Materials and Methods: Between April 2003 and July 2007, 10 children with "correctable" types I and II BA were enrolled for the study. They presented with progressive jaundice, pale stools, and elevated aspartate transferase and alanine transferase levels. There were 6 girls and 4 boys, with ages ranging from 23 to 160 days (median, 53). All BA had cysts of extrahaptic bile ducts. There were 6 type I and 4 were type II BA. The median diameter of the cysts was 1.5 cm (range, 1.0-1.8). All 10 children underwent laparoscopic cyst excision with Roux-en-Y hepatojejunostomy. Four trocars were inserted. The distal end of the cyst was resected. and a Roux-en-Y hepatojejunostomy was fashioned. The patients were followed up on median for 26 months (range, 4-51).

Results: The median duration of the operation was 3.0 hours (range, 2.4-3.2). There were no intraoperative complications. The blood loss was between 5 to 10 mL. Postoperatively, patients passed flatus after 18 hours (range, 16-28), and resumed oral intake in 20 hours (range, 16-30). Normal colored stools were passed after 3 days (range, 2-4). Jaundice started to disappear on postoperative day 10 (range, 7-16). In 6 cases, the total and the direct bilirubin were normalized on postoperative day 14-3 in 3 weeks. One patient had a persistent elevation of bilirubin. The postoperative course was uneventful in all patients. The median postoperable hospital stay was 7 days (range, 5-9). No postoperative complication was found at the follow-up visits.

Conclusions: The laparoscopic Kasai′ operation for children with type I or II biliary atresia is feasible, safe, and effective.

语种: 英语
WOS记录号: WOS:000265319500012
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67977
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: 1.Capital Inst Pediat, Dept Pediat Surg, Beijing 100020, Peoples R China
2.Peking Univ, Hosp 1, Dept Pediat Surg, Beijing, Peoples R China
3.Monash Med Ctr, Dept Pediat Surg, Clayton, Vic 3168, Australia
4.Monash Med Ctr, Dept Paediat, Clayton, Vic 3168, Australia
5.Monash Med Ctr, Dept Surg, Clayton, Vic 3168, Australia

Recommended Citation:
Liu, Shu-Li,Li, Long,Cheng, Wei,et al. Laparoscopic Hepatojejunostomy for Biliary Atresia[J]. JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES,2009,19:S31-S35.
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