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首页> 外文期刊>Journal of International Medical Research >Clinical efficacy of laparoscopic modified loop cholecystojejunostomy for the treatment of malignant obstructive jaundice
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Clinical efficacy of laparoscopic modified loop cholecystojejunostomy for the treatment of malignant obstructive jaundice

机译:腹腔镜改性环胆囊抑制术治疗恶性阻塞性黄疸的临床疗效

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Objective This study was performed to summarize our experience and investigate the safety and efficacy of laparoscopic modified loop cholecystojejunostomy for the treatment of malignant obstructive jaundice. Methods Thirteen patients with malignant obstructive jaundice who underwent laparoscopic modified loop cholecystojejunostomy from March 2015 to March 2016 were retrospectively reviewed. The patients’ characteristics, operation time, postoperative intestinal recovery time, length of hospital stay, postoperative bilirubin level, and complications were analyzed. Results The patients were followed up as outpatients for 2 years. Nine patients with pancreatic head carcinoma, one patient with periampullary carcinoma, and three patients with distal bile duct carcinoma successfully underwent laparoscopic modified loop cholecystojejunostomy. The mean operation time was 176?±?45 minutes, and the mean length of hospital stay was 9.5?±?2.8 days. The serum total bilirubin concentration and gamma-glutamyl transferase concentration significantly decreased on postoperative day 7. The median follow-up time was 7 months. No patients developed bile leakage or required a reoperation. Conclusions Laparoscopic modified loop cholecystojejunostomy is not only safe and minimally invasive, but it is also feasible for patients with malignant obstructive jaundice.
机译:目的是对我们的经验进行了总结,探讨了腹腔镜修饰环胆囊梗死治疗恶性阻塞性黄疸的安全性和疗效。方法回顾性审查了来自2015年3月至2016年3月的腹腔镜改性环路胆囊霍累斯托苗般的13例恶性阻塞性黄疸患者。分析了患者的特征,操作时间,术后肠道恢复时间,住院时间,术后胆红素水平和并发症。结果患者随访2年。含有胰头癌的九名患者,一名患者患者患者患者癌症癌,以及三名患有远端胆管癌癌的患者成功完成了腹腔镜修饰环Cholecystojejunostomy。平均手术时间为176?±45分钟,而医院住宿的平均长度为9.5?±2.8天。术后第7天血清总胆红素浓度和γ-戊二醇转移酶浓度显着降低。中位随访时间为7个月。没有患者发育胆汁泄漏或需要重新进食。结论腹腔镜改性环胆总管静脉柔道术不仅是安全和微创的侵入性,而且对于恶性阻塞性黄疸的患者也是可行的。

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