LAPAROSCOPIC CHOLANGIOJEJUNOSTOMY FOR CHOLEDOCHAL CYSTS IN CHILDREN USING DOUBLE-HEMICIRCUMFERENTIAL

Uh, good afternoon, ladies and gentlemen. Uh, objective on the study, uh, the purpose of the study is to evaluate the feasibility and effectiveness of implanting a validated, uh, double hemi circumferential running suture in laparoscopy and cholangiogenostomy for cholooptosis in children. Um, this study is a retrospective study from October 2001 to October 2009. Uh, 218 CDC patients were enrolled in this study. All the patients underwent, uh, cholangio junostomy using double hemi sacrofal an anastomosis. Early post-operative and the follow-up results were analyzed. Uh, the four picture show, uh, the suture technique. Uh, we selected a 50 or 60 PDS PDS suture thread, uh, according to the, uh, the diameter of bananastomosis. And just right was tailored. Uh, in our experience, uh, Uh, 10 to 15 centimeter is enough. And start, start in the uh posterior wall from 3 o'clock to 9 o'clock, um, using. Using running continuous, uh, 11 layer future. And from 3 o'clock to 9 o'clock, uh, And then, uh, we filter the The anti rail war, uh, by the same way, uh, in the end, the two thread, uh, knocked. Uh, the video will show uh Huawei's future. Uh, first, from the 3 o'clock, we complete the poster war bananastomosis. And then the poster war uh was, was complete. Then we will use the other arm of the thread to filter the anterior wall uh from 3 o'clock to 9 o'clock. And then the two thread were knocked. A result, uh, after operation, uh, laboratory values became normal. And the main operation time was 2.95 hour. The bleeding amount is 9.05 mL and uh I mean hospital stay time about seven days. And during the follow-up time, follow-up period, there was no biliary stenosis, fissure and cholyangrogitis was found. Conclusions and the double hemi circle financial running suture technique is easy to operate in laparoscopy, uh, saving time and the less complications and thus it is maybe an effective improvement for, uh, colleague colleague Andrew Junost Tommy. Uh, thank you.