机器人胆道切除术治疗 I 型胆总管囊肿并行双肝空肠吻合术

The American Surgeon Pub Date : 2024-04-02 DOI:10.1177/00031348241241681

Maria Christodoulou, Tara M. Pattilachan, Sharona B Ross, George Peek, I. Sucandy

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引用次数: 0

摘要

对远端胆管进行分离和横断，并进行冰冻切片检查，确认没有恶性肿瘤。然后将注意力转移到构建60厘米长的Roux肢体上，首先确定并横断距离特雷兹韧带40厘米的近端空肠。完成了侧对侧的订书钉空肠空肠吻合术。通过逆结肠途径将 Roux 断端向肝门转位。

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Robotic Biliary Resection for Type I Choledochal Cyst With Dual Hepaticojejunostomy.

The distal bile duct was isolated and transected with a frozen section examination confirming the absence of malignancy. Attention was then shifted to constructing a 60 cm Roux limb by first identifying and transecting the proximal jejunum 40 cm from the ligamentum of Treitz. A side-to-side stapled jejunojejunostomy anastomosis was completed. The Roux limb was transposed toward the porta hepatis through an antecolic approach.

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The American Surgeon

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