Liu Fei,Xu Xiaogang,Zhu Deli,et al.Total laparoscopic congenital choledochal cyst excision in children: a clinical analysis of 10 cases[J].Journal of Clinical Pediatric Surgery,,18():563-567.[doi:10.3969/j.issn.1671-6353.2019.07.009]
Total laparoscopic congenital choledochal cyst excision in children: a clinical analysis of 10 cases
- Keywords:
- Laparoscopes; Choledochal Cyst
- CLC:
- R726;R616.5;R575.7
- Abstract:
- Objective To explore the feasibility of total laparoscopic congenital chole-dochal cyst excision in children.Methods From August 2017 to May 2018,retrospective anal-yses were performed for 10 cases of three-dimensional (3D) total laparoscopic cyst excision for con-genital choledochal cyst during Roux-en-Y hepatoenterostomy.There were 3 boys and 7 girls.The clinical types were Ⅰ(n=6) and Ⅳ (n=4).Results Total laparoscopic cyst excision was completed successfully for 10 cases.The mean operative duration was (238±60) min,intraoperative bleeding volume 5 to 10 mL,average postoperative feeding time 3.4±0.9 days and mean hospitalization stay after initial operation 7.6±1.5 days.The follow-up period was 7 to 16 months.The median values of alanine aminotransferase (ALT),aspartate aminotransferase (AST),total bilirubin (TBIL),direct bili-rubin (DBIL) and serum amylase (SAMY) were 49.5 U/L,38.5 U/L,12.25 μmol/L,7.45 μmol/L and 87.5 U/L pre-operation and 20 U/L,29.5 U/L,5.75 μmol/L,2.4 μmol/L and 56.5 U/L post-operation respectively.The differences were statistically significant (P<0.05).One case was cured by reopera-tion after 1 month of initial surgery due to an obstruction of Roux jejunal loop.There was no onset of such complications as anastomotic stenosis,anastomotic fistula,cholangitis,pancreatitis or death.Conclusion Total laparoscopic congenital choledochal cyst excision is both safe and effective in children.However,operative difficulty is high.
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Memo
收稿日期:2019-3-26。
基金项目:广州市妇女儿童医疗中心院内基金（编号：NO.IP-2018-008）
通讯作者:曾纪晓,Email:zengjixiao@163.com