Complete laparoscopic choledochal cyst excision and hepaticojejunostomy with laparoscopic Roux‐Y reconstruction using a 5‐mm stapler: A case of a 2‐month‐old infant
Complete laparoscopic choledochal cyst excision and hepaticojejunostomy with laparoscopic Roux‐Y reconstruction using a 5‐mm stapler: A case of a 2‐month‐old infant
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使用 5 mm 吻合器完成腹腔镜胆总管囊肿切除和肝空肠吻合术并进行腹腔镜 Roux-Y 重建：以 2 个月大婴儿为例
DOI：
10.1111/ases.12928
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发表时间：
2021
影响因子：
1
通讯作者：
Ieiri Satoshi
中科院分区：
文献类型：
--
作者：
Murakami Masakazu;Kaji Tatsuru;Nagano Ayaka;Matsui Mayu;Onishi Shun;Yamada Koji;Ieiri Satoshi
由于技术难度，腹腔镜胆总管囊肿切除术和儿童胆总管空肠吻合术仅在特定机构进行。尽管胆总管囊肿切除和肝空肠吻合术是可行的，但婴儿的狭小工作空间使得腹内Roux-Y重建在技术上具有挑战性。一名 2 个月大的女孩被诊断患有胆总管囊肿，接受了完整的腹腔镜胆总管囊肿切除术和肝空肠吻合术，包括使用 5 毫米吻合器进行腹内 Roux-Y 重建。囊肿切除后，在腹腔内进行Roux-Y重建。使用5毫米吻合器以左右方式进行空肠空肠吻合术，并通过腹腔镜手工缝合封闭入口孔以及肠系膜缺损。所有手术均通过腹腔镜手术进行。术后过程很顺利，患者恢复得很快。使用小直径器械，完全腹腔镜手术治疗胆总管囊肿是可行的。
Laparoscopic choledochal cyst excision and hepaticojejunostomy for choledochal in children is performed only at particular institutions because of the technical difficulty. Although choledochal cyst excision and hepaticojejunostomy are feasible, the small working space of infants makes intraabdominal Roux‐Y reconstruction technically challenging. A 2‐month‐old girl diagnosed with a choledochal cyst underwent complete laparoscopic choledochal cyst excision and hepaticojejunostomy, including intraabdominal Roux‐Y reconstruction with a 5‐mm stapler. After cyst excision, Roux‐Y reconstruction was performed in the intraabdominal cavity. Jejunojejunostomy was performed in a side‐to‐side fashion using a 5‐mm stapler, and the entry hole was closed laparoscopically by hand‐sewing, along with the mesentery defect. All procedures were performed by laparoscopic surgery. The postoperative course was uneventful, and the patient showed a quick recovery. Using small‐diameter instruments, completely laparoscopic procedures for choledochal cyst are feasible.