比较腹腔镜与开放Kasai手术治疗先天性胆道闭锁的中期疗效

Comparison of laparoscopic and Open Kasai Surgery in the Treatment of Congenital Biliary Atresia in the Medium-Term Efficacy

目的对腹腔镜以及开放Kasai手术治疗先天性胆道闭锁的中期疗效进行分析和探讨。方法选取我院及首都儿科研究所2012年1月-2014年2月收治的86例先天性胆道闭锁患儿,使用随机数表法将患儿平均分为观察组和对照组,观察组患儿接受腹腔镜Kasai手术的治疗,对照组患儿接受开放Kasai手术的治疗,随访24个月,比较中期疗效。结果观察组患儿手术时间长于对照组患儿,术中出血量等指标优于对照组患儿,差异有统计学意义（P〈0.05）;两组患儿出院时间、退黄率等指标的比较,差异不具有统计学意义（P〉0.05）。结论腹腔镜以及开放Kasai手术治疗先天性胆道闭锁的中期疗效无显著差异,微创手术优势未能体现。

Objective To analyze and discuss the curative effect of laparoscopic and open Kasai in the treatment of congenital biliary atresia. Methods In our hospital and the capital Pediatric Research Institute from January 2012 to February 2014, 86 cases of congenital biliary atresia, using a random number table method will, on average, children are divided into observation group and control group. Patients in the observation group received the treatment of laparoscopic Kasai operation, patients in the control group received open Kasai operation treatment, all patients were followed up for 24 months. Compared the mid-term curative effect. Results In the observation group with operation time was longer than that of the control group of patients, intraoperative bleeding volume index was better than children in the control group, the difference was statistically significant（P〈0.05）, comparison of two groups of children with discharge time, retreat yellow rate index, the difference is not statistically significant（P〈0.05）. Conclusion Laparoscopic and open Kasai surgery in the treatment of congenital biliary atresia has no significant difference in the medium-term efficacy, minimally invasive surgical advantages can not be reflected.