Zhang Yuebin,Gao Zhigang,Chen Qingjiang,et al.Laparoscopy for congenital biliary dilatation with a small diameter of common hepatic duct or accessory hepatic ducts:a report of 11 cases[J].Journal of Clinical Pediatric Surgery,,20():1054-1058.[doi:10.12260/lcxewkzz.2021.11.011]
Laparoscopy for congenital biliary dilatation with a small diameter of common hepatic duct or accessory hepatic ducts:a report of 11 cases
- CLC:
- R722;R657.44
- Abstract:
- Objective To explore the safety and feasibility of laparoscopy for unusual forms of congenital biliary dilatation (CBD) with a small diameter or accessory hepatic duct (AHD). Methods Retrospective analysis was performed for 11 CBD cases with unusual forms undergoing laparoscopy from January 2012 to August 2019. And the relationship between operative procedures and postoperative recovery were retrospectively analyzed. Results Laparoscopy was completed successfully for all 11 cases. The average operative duration was 158(120-210) min and the volume of intraoperative blood loss <10 mL. During a follow-up period of (2-36) months, the levels of AST, ALT and bilirubin remained normal and there was no associated dilatation of intrahepatic bile duct. Conclusion The diagnosis of CBD is dependent on radiography. However, most cases of AHD fail to be detected preoperatively. Laparoscopic discontinuous hepaticojejunostomy may be performed by making a longitudinal incision in anterior wall of CHD under traction with a diameter of CHD <5 mm. A ligature was used in AHDs when the diameter was less than 1 mm, and the AHD was restructured into a Roux loop along with the common hepatic duct when the diameter was more than 2 mm.
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Memo
收稿日期:2019-11-28。
基金项目:国家重点研发计划（编号：2018YFC1002700）；浙江省医药卫生科技计划项目（编号：2017KY434）
通讯作者:高志刚,Email:ebwk@zju.edu.cn