经脐单孔3D腔镜下肝总管-空肠改良Warren吻合术治疗儿童胆总管囊肿的效果观察

Observation on the Effect of Modified Warren Anastomosis of Hepatic Duct and Jejunum with Transumbilical Single Hole 3D Endoscopy for Choledochal Cyst in Children

目的探究经脐单孔3D腔镜下肝总管-空肠改良Warren吻合术治疗儿童胆总管囊肿的疗效。方法选取河南省儿童医院2012年8月至2022年8月收治的90例儿童胆总管囊肿患儿,使用随机数字法分为观察组(n=45)和对照组(n=45),观察组实施经脐单孔3D腔镜下肝总管-空肠改良Warren吻合术治疗,对照组行Roux-en-Y胆肠吻合术治疗,对比两组治疗有效率、手术相关指标、肝功能及术后并发症。结果观察组治疗有效率95.56%高于对照组82.22%(P<0.05);观察组手术时间、术中出血量、术后摄食时间及住院时间均低于对照组(P<0.05);观察组肝功能指标和术后并发症发生率均低于对照组(P<0.05)。结论针对儿童胆总管囊肿患儿,采用经脐单孔3D腔镜下肝总管-空肠改良Warren吻合术治疗具有良好的效果,在提升临床疗效,改善相关手术指标和肝功能指标,减少并发症等方面具有积极意义。

Objective To investigate the effect of transumbilical single hole 3D endoscopic modified Warren anastomosis of hepatic dochal jejunum in the treatment of choledochal cyst in children.Methods A total of 90 children with choledochal cyst admitted to Henan Children's Hospital from August 2012 to August 2022 were selected and divided into observation group(n=45)and control group(n=45)by random number method.The observation group was treated with modified Warren anastomosis of hepatic dochal and jejunum by transumbilical single-hole 3D endoscopy.The control group was treated with Roux-en-Y cholecytoenterostomy.The treatment efficiency,operative indexes,liver function and postoperative complications were compared between the two groups.Results The effective rate of observation group was 95.56%higher than that of control group 82.22%(P<0.05).Operation time,intraoperative blood loss,postoperative feeding time and hospital stay in the observation group were lower than those in the control group(P<0.05).The liver function index and postoperative complication rate of the observation group were lower than those of the control group(P<0.05).Conclusion For children with choledochal cysts,the modified Warren anastomosis of hepatic duct and jejunum under transumbilical single hole 3D endoscopy has a good effect,which has positive significance in improving clinical efficacy,improving related surgical indexes and liver function indexes,and reducing complications.