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目的总结腹腔镜下胆总管囊肿根治手术的经验。方法从2010年7月至2011年10月,对我院22例胆总管囊肿患儿行腹腔镜下囊肿切除、肝总管空肠Roux-Y吻合术。结果 3例因囊壁炎症重而中转开腹,其余均完成腹腔镜手术,平均手术时间4.6小时(3.5～6.5小时)。术后3例出现胆瘘,经通畅引流后愈合。术后美容效果明显。随访至今未出现胆道狭窄、胆道感染等并发症。结论腹腔镜下根治小儿胆总管囊肿是安全可靠的。
Objective To summarize the experience of laparoscopic radical choledochal cyst surgery. Methods From July 2010 to October 2011, 22 cases of choledochal cyst in our hospital were treated with laparoscopic cyst excision and Roux-Y hepaticojejunostomy. Results Three cases of laparoscopic surgery underwent laparoscopic surgery due to severe inflammation of the capsule wall. The average operation time was 4.6 hours (3.5-6.5 hours). Postoperative biliary fistula occurred in 3 cases, after drainage through the drainage of healing. Postoperative cosmetic effect is obvious. Up to now no complications such as biliary stricture and biliary tract infection occurred. Conclusion Laparoscopic treatment of children with choledochal cyst is safe and reliable.