Diao Mei,Li Long.Surgical essentials and techniques of transumbilical single incision laparoscopy for choledochal cysts[J].Journal of Clinical Pediatric Surgery,,18():536-541.[doi:10.3969/j.issn.1671-6353.2019.07.003]
Surgical essentials and techniques of transumbilical single incision laparoscopy for choledochal cysts
- Keywords:
- Laparoscopes; Choledochal Cyst
- CLC:
- R726;R616.5;R575.7
- Abstract:
- In recent years, single-incision laparoscopy has been adopted in pediatric surgery to achieve the advanced goal of minimal invasive surgery, i.e. visual scarlessness. The technical challenges included:1) Difficult triangulation induced by in-line placement of telescope and instruments; 2) difficult dissection and anastomosis due to lack of assistant; 3) Umbilical wound hernia and infection. Via a series of technical improvements, e.g. instrument placements, retraction suture etc., the single-incision laparoscopy definitive surgery has been successfully carried out in children with choledochal cysts (CDC). It has been extended to be used in treatment of complicated CDCs, including neonatal CDCs, giant CDCs, redo-or second-stage surgery, perforated CDCs. The Comparative study verified that its operative time and effectiveness were similar to those of conventional laparoscopic definitive surgery in CDC children. Furthermore, it achieved "visual scarlessness". It provides a viable surgical treatment option for CDCs.
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Memo
收稿日期:2019-5-24。
基金项目:北京市卫生系统高层次卫生技术人才培养计划（编号：2014—3—071）；首都临床特色应用研究特色课题（编号：Z171100001017222）；北京市医院管理局儿科学科协同发展中心儿科专项重点项目（编号：XTZD20180304）
通讯作者:李龙,Email:lilong23@126.com;刁美,Email:psps3001@hotmail.com