■胆总管囊肿是一种先天性疾病,由于可能发生恶性肿瘤,因此初步进行手术治疗。近年来,技术发展和腹腔镜经验的增加已经普及了成人胆总管囊肿手术中腹腔镜的使用。这项研究旨在介绍八名接受腹腔镜胆总管切除术的成年患者的结果。
在2013年至2018年期间接受腹腔镜胆总管囊肿切除术和肝空肠吻合术的患者进行回顾性评估。人口特征,术前和术后发现,检查患者的病理结果和最终状况。
■在8名患者中,三个是男性,五个是女性。中位年龄为41.5岁(22-49岁)。其中一名患者患有IVa型,其余患者患有I型胆总管囊肿。腹腔镜胆总管囊肿切除术,胆囊切除术,所有患者均进行了肝空肠吻合术。一名患者转为开放手术。3例患者术后发生胆漏。手术持续时间的中位数为330(240-480)分钟,失血量为50(10-100)mL。患者的平均住院时间为6(4-23)天,随访时间为20(2-65)个月。在后期,1例接受药物治疗的患者发生胆管炎,随访期间无死亡.
■我们建议,成人腹腔镜胆总管囊肿切除术可能是开放手术的替代方法,因为尽管存在诸如自限性胆漏之类的早期问题,但晚期效果令人满意。
UNASSIGNED: Choledochal cyst is a congenital disease in which surgical treatment is preliminary because of the potential for malignancy. In recent years, increase in technological developments and laparoscopic experience have popularised the use of laparoscopy in adult choledochal cyst surgery. This study aimed to present the results of eight adult patients undergoing laparoscopic choledochal excision surgery.
UNASSIGNED: Patients who underwent laparoscopic choledochal cyst excision and hepatico-jejunostomy anastomoses between the years 2013 and 2018 were evaluated retrospectively. Demographic characteristics, preoperative and postoperative findings, pathological results and final condition of the patients were examined.
UNASSIGNED: Of the eight patients, three were males and five were females. Median age was 41.5 years (22-49). One of the patients had Type IVa and the rest had Type I choledochal cysts. Laparoscopic choledochal cyst excision, cholecystectomy, and hepatico-jejunostomy anastomoses were performed on all of the patients. One patient was converted to open surgery. Three patients had postoperative biliary leakage. Duration of the operations was determined as median 330 (240-480) minutes and blood loss was 50 (10-100) mL. Hospitalization of the patients was median 6 (4-23) days and follow-up time was median 20 (2-65) months. In the late period, cholangitis occured in a patient who was treated with medical therapy and there was no mortality in the follow-up period.
UNASSIGNED: We suggest that laparoscopic choledochal cyst excision in adults may be an alternative to open surgery due to the satisfactory results in the late period in spite of early problems like self-limiting bile leakage.