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目的探讨腹腔镜手术治疗小儿先天性胆总管囊肿的临床疗效。方法对我科收治采用腹腔镜下囊肿根治切除、肝总管空肠Roux-Y吻合术治疗的43例先天性胆总管囊肿患儿进行回顾性分析,并与同期收治采用开腹手术治疗的43例患儿进行对照研究。结果腹腔镜组在手术时间、术中出血量、住院时间、并发症等方面均少于开腹手术组,两组比较,差异有统计学意义(P<0.05)。结论腹腔镜下实施小儿先天性胆总管囊肿根治术,术中创伤小、出血少、恢复快,是一种安全、有效的治疗方法。
Objective To investigate the clinical effect of laparoscopic surgery on children with congenital choledochal cyst. Methods A retrospective analysis of 43 cases of congenital choledochal cyst treated with radical laparoscopic cyst excision and Roux-Y anastomosis of jejunum in our department was performed and compared with 43 cases treated with laparotomy Children control study. Results The laparoscopic group had less operation time, intraoperative blood loss, hospitalization time and complications than the laparotomy group. There was significant difference between the two groups (P <0.05). Conclusions Laparoscopic management of children with congenital choledochal cyst is a safe and effective treatment method with less trauma, less bleeding and faster recovery.