Natural orifice transumbilical single-port three-dimensional laparoscopic hepojejunostomy for congenital choledochal cyst in children

doi:10.3877/cma.j.issn.1674-6899.2021.03.009

Abstract

Abstract:

Objective

To investigate the feasibility, safety and effect of natural orifice transumbilical three-dimensional laparoscopic single-port hepojejunostomy for congenital choledochal cyst in children.

Methods

Seven children with congenital choledochal cyst were treated by the same surgeon with transumbilical three-dimensional laparoscopic single-port Roux-en-Y hepojejunostomy. Preoperative, intraoperative and postoperative clinical data of the children were collected for retrospective analysis and followed up for 3 months.

Results

All patients successfully completed operation, without transfer to open surgery or additional Trocar cases, none of 7 cases need blood transfusion and postoperative ICU treatment. The average operative time was 331 min, the intraoperative blood loss was 5-22 ml, and the postoperative hospital stay was 5-7 d. There were no anastomotic leakage, anastomotic stenosis, hemorrhage, acute intestinal obstruction, incision infection, cholangitis, acute pancreatitis or other complications. The appearance of the umbilical region was satisfactory and no visible postoperative scar was found in all patients.

Conclusions

Natural orifice transumbilical three-dimensional laparoscopic single-port hepojejunostomy for congenital choledochal cyst in children is safe and feasible, with good short-term results and satisfactory postoperative cosmetic results, but the procedure is difficult.

Key words: Laparoscopy, Single-port laparoscopy, Choledochal cyst, Surgery

Xiaogang Xu, Jixiao Zeng, Fei Liu, Menglong Lan, Boyuan Tao, Yuzhen Lin. Natural orifice transumbilical single-port three-dimensional laparoscopic hepojejunostomy for congenital choledochal cyst in children[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(03): 172-176.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2021.03.009

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2021/V14/I03/172

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References 19

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编号	月龄(月)	性别	主诉	Todani分型	囊肿直径(cm)	手术时间(min)	出血量(ml)	术后24 h疼痛评分(分)	术后住院时间(d)	并发症
1	96	女	腹痛	Ⅰ	2.3	398	8	2	6	无
2	12	女	黄疸	Ⅰ	2.7	340	22	0	6	无
3	2	男	产检发现	Ⅳ	8.7	390	15	0	7	无
4	24	男	腹痛	Ⅳ	1.8	380	17	1	7	无
5	17	女	黄疸	Ⅳ	1.5	310	12	2	7	无
6	1	女	黄疸	Ⅰ	1.7	245	10	2	7	无
7	36	女	腹痛	Ⅰ	1.4	255	5	1	6	无

编号	月龄(月)	性别	主诉	Todani分型	囊肿直径(cm)	手术时间(min)	出血量(ml)	术后24 h疼痛评分(分)	术后住院时间(d)	并发症
1	96	女	腹痛	Ⅰ	2.3	398	8	2	6	无
2	12	女	黄疸	Ⅰ	2.7	340	22	0	6	无
3	2	男	产检发现	Ⅳ	8.7	390	15	0	7	无
4	24	男	腹痛	Ⅳ	1.8	380	17	1	7	无
5	17	女	黄疸	Ⅳ	1.5	310	12	2	7	无
6	1	女	黄疸	Ⅰ	1.7	245	10	2	7	无
7	36	女	腹痛	Ⅰ	1.4	255	5	1	6	无

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