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首页> 外文期刊>Surgical Endoscopy >Laparoscopic management for aberrant hepatic duct in children with choledochal cysts
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Laparoscopic management for aberrant hepatic duct in children with choledochal cysts

机译：腹腔镜治疗胆囊囊肿儿童异常肝管

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BackgroundThe aim of the current study is to evaluate efficacy of laparoscopic treatment for aberrant hepatic duct (AHD) in children with cholecochal cysts (CDC).MethodsCDC children with AHDs who successfully underwent laparoscopic ductoplasties and hepaticojejunostomies between October 2001 and October 2017 were reviewed. The AHD variations were categorized into four subtypes and the surgical management varied according the subtypes.ResultsSixty CDC patients with AHDs were reviewed. The mean age at surgery was 3.91years. Two patients with Type 2 anomaly developed bile leaks after primary surgeries, and underwent laparoscopic anastomosis of AHD to jejunum in redo surgeries. In the remaining 58 patients, the average operative time was 3.75h. The mean postoperative hospital stay was 6.02days. The mean duration for full diet resumption was 2.25days. The mean drainage time was 4.05days. The median follow-up period was 30months. Two patients with giant cysts had fluid collections, and were cured by drainages. One patient encountered duodenal injury at perforation site, and underwent laparoscopic repair. None of the patients had anastomotic stenosis, bile leak, cholangitis, intrahepatic reflux, pancreatic leak, pancreatitis, Roux-loop obstruction, or adhesive intestinal obstruction. Postoperative liver function tests and serum amylase level normalized within 1year.ConclusionsRecognition and treatment based on different subtypes of AHDs effectively prevent relevant complications. Individualized laparoscopic ductoplasty and hepaticojejunostomy is an efficacious management for AHDs in CDC children.
机译：背景技术目前的研究目的是评估腹腔镜治疗对胆囊复古囊肿（CDC）儿童的腹腔镜治疗（AHD）的疗效。审查了2001年10月和2017年10月期间成功接受了腹腔镜导管和肝脏jeNonostomies的AHDS的患儿。将AHD变化分为四个亚型，并且根据亚型不同的手术管理。审查有AHDS的CDC患者。手术的平均年龄为3.91年。两种患有2型异常的患者在初级手术后发育胆汁泄漏，并在重做手术中接受了AHD到Jejunum的腹腔镜吻合。在剩下的58名患者中，平均手术时间为3.75h。平均术后住院住宿是6.02天。全饮恢复的平均持续时间为2.25天。平均排水时间为4.05天。中位的随访期为30个月。两名患有巨型囊肿的患者有流体收集，并通过排水治愈。一名患者在穿孔部位遇到十二指肠损伤，并进行了腹腔镜修复。没有患者患有吻合狭窄，胆汁泄漏，胆管炎，肝内反流，胰泄漏，胰腺炎，Roux环梗阻或粘性肠梗阻。术后肝功能试验和血清淀粉酶水平在1年内标准化。基于AHDS的不同亚型的基于不同亚型的组合和治疗有效防止相关并发症。个性化的腹腔镜调节术和肝脏jejunostomy是疾病疾病疾病疾病疾病疾病疾病疾病疾病疾病疾病疾病疾病疾病疾病疾病症的艾滋病疫苗的有效管理。

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