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小儿腹腔镜胆囊切除术27例报告
http://www.100md.com 《腹腔镜外科杂志》 1998年第1期
胆囊结石;胆囊切除术,腹腔镜;小儿,,胆囊结石;胆囊切除术,腹腔镜;小儿,【关键词】胆囊结石;胆囊切除术,腹腔镜;小儿,1资料与方法,2结果,3讨论,参考文献:
     【摘要】 目的:探讨小儿腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)的特殊性。方法:27例小儿LC,腹壁操作孔较成人位置稍低1~2cm,气腹压力7~10mm Hg,CO2流量2~3L/min。结果:胆囊管与胆总管异位汇合6例,胆囊管冗长3例,双胆囊管畸形1例,胆囊位于肝左叶1例,本组LC全部成功,手术时间15~35min,平均28min,住院时间4~10d,平均6.5d,全部随访1个月~5年,发生急性胰腺炎2例,不同程度腹泻6例,其余无并发症发生。结论:腹壁操作位置稍低、低气腹压及胆道变异为小儿LC特点。

    【关键词】 胆囊结石;胆囊切除术,腹腔镜;小儿

    Laparoscopic cholecystectomy in children:a report of 27 cases

    ZHOU Hongtai1,MA Yongbao1,YING Ruilin2,et al.

    1.Xuyi Traditional Chinese Medical Hospital,Xuyi 211700,China;2.Xuyi County's Hospital

    【Abstract】 Objective:To explore the particularity of laparoscopic cholecystectomy (LC) in children.Methods:In 27 cases of pediatric LC,the operative ports in abdominal wall were lower than those of adults about 12cm,the pneumoperitoneal pressure was 710mm Hg and the flow rate of CO2 was 23L/min.Results:There were respectively 6 ectopic junctions of cystic duct and common bile duct,3 tediously long cystic ducts,1 double cystic ducts deformation and 1 gallbladder located in left lobe of liver.All cases were successfully managed by LC.The operating time ranged from 15 to 35min(average,28min).The hospitalization was between 4 and 10 days(average,6.5 days).At a followup of 1 month to 5 years,acute pancreatitis and diarrhea with different degrees occured in 2 and 6 cases respectively.The other cases had no complications.Conclusions:The features of pediatric LC are slightly inferior operative ports in abdominal wall, the lower pneumoperitoneal pressure and variant cystic duct. ......

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