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目的 探讨小儿先天性胆总管囊肿再次手术的原因及预防措施。方法 对五例先天性胆总管囊肿再次手术的资料进行分析。结果 急诊行囊肿外引流 1例需二期手术 ;囊肿内引流术后因反复胆道感染需再次手术 3例 ;囊肿切除胆肠吻合术后并发吻合口狭窄 1例。结论 除非患儿合并急性胆管炎或巨大囊肿尽量一期切除囊肿行胆肠Roux -Y吻合术 ,并且应预防吻合口狭窄及肠内容物返流 ,以减少再手术率
Objective To investigate the causes and preventive measures of reoperation of children with congenital choledochal cyst. Methods Five cases of congenital choledochal cyst re-operation data were analyzed. Results One case of acute cyst exudation needed two surgeries. Three cases underwent reoperation due to biliary tract infection after cyst drainage. One case had anastomotic stenosis after choledochojejunostomy. Conclusion Unless the children with acute cholangitis or huge cyst as best as possible cholecystitis Roux-Y anastomosis, and should prevent anastomotic stenosis and intestinal reflux, in order to reduce re-operation rate