The authors present a 3-month-old patient with a congenital choledochal cyst, which was asymptomatic until treatment. On laparoscopy, a type I choledochal cyst was confirmed and excised laparoscopically. A Roux-en-Y a...The authors present a 3-month-old patient with a congenital choledochal cyst, which was asymptomatic until treatment. On laparoscopy, a type I choledochal cyst was confirmed and excised laparoscopically. A Roux-en-Y anastomosis was constructed after exteriorization of the small bowel via the infraumbilical trocar incision. A laparoscopic end-to-side hepaticojejunostomy was carried out. The operation lasted 41/2 hours, without intraoperative problems. Oral food intake was started on day 2 and well tolerated with bile stained stools. Symptoms of bowel obstruction occurred on day 8. On minilaparotomy, the Roux-en-Y anastomosis was found to be adherent to the mesenterium of the colon, leading to obstruction. After mobilizing the loop, the postoperative course was uneventful. We conclude that laparoscopic resection of congenital choledochal cyst and choledochojejunostomy was feasible in the youngest patient operated on so far. However, adhesive small bowel obstruction can also occur, as after conventional operation, when the bowel is exteriorized for Roux-en-Y hepaticojejunostomy.展开更多
1988年5月至1980年6月,我们共施行间置空肠人工乳头胆管空肠吻合术二例,特报告如下: 临床资料例一男,69岁,1988年5月住院。一周前无任何诱因右上腹持续疼、痛阵发性加剧,向后背部放散。周身粘膜、皮肤黄染,发烧,寒战。黄染目渐加重。经...1988年5月至1980年6月,我们共施行间置空肠人工乳头胆管空肠吻合术二例,特报告如下: 临床资料例一男,69岁,1988年5月住院。一周前无任何诱因右上腹持续疼、痛阵发性加剧,向后背部放散。周身粘膜、皮肤黄染,发烧,寒战。黄染目渐加重。经门诊检查及 B 超诊断为“胆囊炎、胆石症”收住院。位院后行间置空肠人工乳头术,取出大小不等四枚结石,并切除胆囊。展开更多
文摘The authors present a 3-month-old patient with a congenital choledochal cyst, which was asymptomatic until treatment. On laparoscopy, a type I choledochal cyst was confirmed and excised laparoscopically. A Roux-en-Y anastomosis was constructed after exteriorization of the small bowel via the infraumbilical trocar incision. A laparoscopic end-to-side hepaticojejunostomy was carried out. The operation lasted 41/2 hours, without intraoperative problems. Oral food intake was started on day 2 and well tolerated with bile stained stools. Symptoms of bowel obstruction occurred on day 8. On minilaparotomy, the Roux-en-Y anastomosis was found to be adherent to the mesenterium of the colon, leading to obstruction. After mobilizing the loop, the postoperative course was uneventful. We conclude that laparoscopic resection of congenital choledochal cyst and choledochojejunostomy was feasible in the youngest patient operated on so far. However, adhesive small bowel obstruction can also occur, as after conventional operation, when the bowel is exteriorized for Roux-en-Y hepaticojejunostomy.
文摘1988年5月至1980年6月,我们共施行间置空肠人工乳头胆管空肠吻合术二例,特报告如下: 临床资料例一男,69岁,1988年5月住院。一周前无任何诱因右上腹持续疼、痛阵发性加剧,向后背部放散。周身粘膜、皮肤黄染,发烧,寒战。黄染目渐加重。经门诊检查及 B 超诊断为“胆囊炎、胆石症”收住院。位院后行间置空肠人工乳头术,取出大小不等四枚结石,并切除胆囊。
