囊肿切除肝总管空肠Roux-en-Y吻合术治疗先天性胆管囊肿  

Roux-en-Y hepaticojejunostomy after the cyst resection for congenital biliary duct cyst in Children

作　　者：刘桂海[1] 陈新国[1] 古立暖[1] 王合峰[1] 刘润玑[1] 

机构地区：[1]山东省立医院,山东济南250021

出　　处：《山东医药》2006年第18期8-9,共2页Shandong Medical Journal

摘　　要：目的观察囊肿切除肝总管空肠R oux-en-Y吻合术治疗小儿先天性胆管囊肿的疗效。方法采用囊肿切除肝总管空肠R oux-en-Y吻合术治疗小儿先天性胆管囊肿56例。结果56例患儿手术全部成功。术后患儿胆管囊肿症状消失,肝胆系统结构和功能均恢复正常。术后并发胆道感染1例,腹膜炎1例,肺炎3例,无胆瘘和伤口感染者,无死亡病例。结论囊肿切除肝总管空肠R oux-en-Y吻合术是治疗小儿先天性胆管囊肿的有效术式。[Objective] To observe the effect of Roux-en-Y hepaticojejunostomy after cyst resection in chindren with congenital billary duct cyst. [Methods] 56 children with congenital biliary duct cyst were treated by Roux-en-Y hepaticojejunostomy after cyst resection. [Results] All operations were proved to be successful. Their symptoms had disappeared, the structures and function of liver and gall system resumed to normal. 1 cases had biliary tract infection after operation, 1 peritonitis and 3 pneumonia were found respectively. There was no cases associated with biliary fistula, wound infection and death. [Conclusion] Roux-en-Y hepaticojejunostomy after cyst resection is an effective approach of operation for chindren with congenital choledochal cyst.

关 键 词：胆管 囊肿 ROUX-EN-Y吻合术 

分 类 号：R726.5[医药卫生—儿科]