[1]黄柳明　 王平　 刘刚　 李龙.腹腔镜用于婴幼儿梗阻性黄疸诊断和治疗的评价[J].中国微创外科杂志,2003,03(1):15-16.
　HuangLium- ing,Wang Ping,Liu Gang,et al.The evaluation of laparoscope in the diagnosis and treatment of obstructive jaundice in infants[J].Chinese Journal of Minimally Invasive Surgery,2003,03(1):15-16.
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腹腔镜用于婴幼儿梗阻性黄疸诊断和治疗的评价()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
03
期数:
2003年1期
页码:
15-16
栏目:
出版日期:
2003-01-31

文章信息/Info

Title:
The evaluation of laparoscope in the diagnosis and treatment of obstructive jaundice in infants
作者:
黄柳明　 王平　 刘刚　 李龙
北京大学第一医院小儿外科,北京,100034
Author(s):
HuangLium- ing; Wang Ping; Liu Gang; et al.
Department of Pediatric Surgery,Peking University First Hospital,Beijing 100034,China
关键词:
腹腔镜 梗阻性黄胆 婴幼儿
Keywords:
Laparoscope　Obstructive jaundice　Infant
分类号:
R726.1;R722.17
文献标志码:
A
摘要:
目的探讨腹腔镜在婴幼儿梗阻性黄疸诊断和治疗中的价值. 方法对52例婴幼儿梗阻性黄疸采用腹腔镜协助诊断和治疗. 结果 2例因大量腹水而中转开腹,余50例腹腔镜下行胆道造影明确诊断,其中胆道闭锁33例,胆道发育不良10例,胆汁淤积7例.中转开腹行肝门-肠吻合术43例,肝活检38例,胆道置管行胆道冲洗9例. 结论腹腔镜诊断和治疗婴幼儿梗阻性黄疸具有准确,可靠的优点.对胆汁淤积的患儿,可免除开腹手术.
Abstract:
Objective　To evaluate the value of laparoscope in the diagnosis and treatment of obstructive jaundice in infants.　Methods　52 cases of obstructive jaundice were diagnosed and treated under laparoscope.　 Results　2 cases were converted to open operation because of a lot of ascitic fluid. The diagnosis of other 50 cases was confirmed under laparoscopic cholangiography, including biliary atresia in 33 cases, bile duct hypoplasia in 10 ones and cholestasis in 7 ones. Hepatic portal-intestinal anastomosis was operated on 43 patients. Liver biopsy was done in 38 cases. Biliary duct cannula and irrigation were performed in 9 cases.　Conclusions　Laparoscope is an accurate and reliable technique in the diagnosis and treatment of obstructive jaundice in infants and it can avoid open surgery for infants with cholestasis.

参考文献/References:

［1］Iinuma Y, Narisawa R, Iwafuchi M, et al. The role of endoscopic retrograde cholangiopancreatography in infants with cholestasis. J Pediatr Surg, 2000, 35:545-549.
［2］Fujimoto T, Segawa O, Lane GJ, et al. Laparoscopic surgery in newborn infants. Surg Endosc, 1999, 13: 773-777.
［3］Senyuz OF, Yesidag E, Emir H, et al. Diagnostic laparoscopy in prolonged jaundice. J Pediatr Surg, 2001, 36:463-465.
［4］Hay SA, Soliman HE, Sherif HM, et al. Neonatal jaundice: the role of laparoscopy. J Pediatr Surg, 2000, 35:1706-1709.
［5］Schier F,Waldschmidt J. Experience with laparoscopy for the evaluation of cholestasis in newborns. Surg Endosc, 1990, 4:13-14.

更新日期/Last Update: 2014-06-10