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Early experience with laparoscopic excision of choledochal cyst in 41 children

机译:腹腔镜切除胆总管囊肿41例患儿的早期体会

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摘要

Objective: This study aims to review our center's early experience in managing children with choledochal cysts using laparoscopic excision. Methods: A retrospective study was carried out from the time of our first case of laparoscopic excision (2010). A total of 41 patients with choledochal cysts underwent laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy. Patient demographics, operative data, and post-operative outcomes were recorded and analyzed. Results: Forty patients underwent the operation successfully, and the mean time of operation was 210 min (range 140 min to 380 min). One case was converted to an open operation due to dense adhesions. All patients recovered uneventfully and were discharged between seven and ten days post-operatively. Four patients suffered minor bile leaks after their operations, but they required only percutaneous drainage. The mean time for follow-up was six months (range 1 month to 1 year). No significant complication was noted during that time. Conclusions: We successfully introduced laparoscopic excision of choledochal cyst in our center and have found this to be a safe and effective method. Long-term follow up is awaited.
机译:目的:本研究旨在回顾我们中心使用腹腔镜切除术治疗胆总管囊肿儿童的早期经验。方法:回顾性研究从我们第一例腹腔镜切除术(2010年)开始。共有41例胆总管囊肿患者接受了腹腔镜胆总管囊肿切除术和Roux-en-Y肝空肠吻合术。记录并分析患者的人口统计学,手术数据和术后结果。结果:40例患者成功接受了手术,平均手术时间为210分钟(140分钟至380分钟)。由于密合,一例转为开放手术。所有患者均康复良好,并在术后7至10天出院。四名患者在手术后胆汁渗漏较小,但仅需经皮引流。平均随访时间为六个月(范围为1个月至1年)。在此期间未发现明显的并发症。结论:我们成功地将腹腔镜下胆总管囊肿切除术引入了我们的中心,并发现这是一种安全有效的方法。等待长期跟进。

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