摘要
目的探讨腹腔镜胆肠吻合术在肝胆外科中的疗效观察。方法回顾性分析解放军总医院肝胆外科2007年1月-2011年9月26例行腹腔镜胆肠吻合术患者的临床资料，其中包括先天性胆总管囊肿患者8例，胆管结石患者11例，胆管恶性肿瘤患者7例。结果所有患者均成功完成腹腔镜胆肠吻合术。术中胆肠吻合时间为60-110min，术后住院时间为3-7d，其中1例患者术后发生胆肠吻合口狭窄，无死亡病例。结论腹腔镜胆肠吻合术的实施需要严格掌握手术指征及扎实的腹腔镜吻合技术，安全可行，值得进一步推广。
Objective To explore the clinical application of laparoscopic choledochoduodenstomy in Hepatobili- al？s Surgery Department. Methods Twenty- six patients of laparoscopic cboledochoduodenstomy were retrospectively analyzed between January 2007 and September 2011 in Hepatobiliary Surgery Department of PLA General Hospital, including 8 cases of choledoehaleyst, 11 cases of bile duct stone and 7 cases of bile duct cancer. Results All of patients were successfully performed operation of total laparoscopic choledochal cyst excision. The operation time was 60 to ll0 minutes. And the time of hospital stay was 3 to 7 days. One patient was found anastomotic stoma stricture, the other cases had no post-operative complication. There was no patient dead. Conclusion Laparo- scopic choledochoduodenstomy needs mastering the indication of operation and laparoscopic anastomosis technique. Under this condition, the operation will be safe and feasible.
出处
《国际外科学杂志》
2012年第4期230-232,F0003,共4页
International Journal of Surgery
关键词
腹腔镜
胆肠吻合
外科学
Laparoscopy
Choledochoduodenstomy cyst
Surgical
