Objective To explore the role of congenital choledochal cyst excision and hepaticojejunostomy clinical curative effect. Methods This study in 2012 September-2013 year in January admitted to the congenital choledochal cyst (Congenital Choledochal Cyst,CCC)were treated by laparoscopic choledochal cyst excision and hepaticojejunostomy therapy, and the clinical data were retrospectively analyzed, resection of abdominal laparoscopic choledochal cyst of liver duct anastomosis were observed on the application value of treatment of congenital choledochal cyst. Results All patients underwent operation were successful, the operation time was 4.5-6 h, the average operation time was (5.12±0.56)h;at 24 h after operation recovery of intestinal function and ambulation. The intraoperative blood loss was 28.52 mL (20-50 mL), no intraoperative or postoperative blood transfusion, stoma diameter 1.0-1.5 cm. Were followed up for 1-3 months in all patients after discharge, all patients were recovered to normal again, no admission. Conclusion Laparoscopic choledochal cyst excision and hepatic duct and jejunum anastomosis in the treatment of congenital choledochal cyst is feasible, minimally invasive, quick recovery, and the satisfactory effect can be gained in children's safety.%目的:探讨行腹腔镜先天性胆总管囊肿切除及肝管空肠吻合术的临床疗效。方法选取2012年9月-2013年1月收治的先天性胆总管囊肿(Congenital Choledochal Cyst,CCC)患者86例行腹腔镜下先天性胆总管囊肿切除及肝管空肠吻合术治疗,对其临床资料进行回顾性分析,就腹腔镜下先天性胆总管囊肿切除及肝管空肠吻合术在治疗先天性胆总管囊肿中的应用价值进行观察研究。结果所有患者手术均获得成功,手术时间4.5~6 h,平均手术时间(5.12±0.56)h;均在术后24 h内恢复肠道功能并下床活动。术中出血量28.52 mL(20~50 mL),无术中或术后需输血者,吻合口直径1.0~1.5 cm。本文所有患儿出院后均获得随访1~3个月,所有患儿均恢复正常,无再次入院者。结论腹腔镜下先天性胆总管囊肿切除及肝管空肠吻合术治疗先天性胆总管囊肿是可行的、微创、恢复快,可在小儿安全实施并可取得满意效果。
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