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学科主题: 临床医学
题名:
The effect of laparoscopic excision vs open excision in children with choledochal cyst: a midterm follow-up study
作者: Huang Liuming2; Zhang Hongwu1; Gang, Liu2; Jun, Jia1; Hou Wenying3; Wong, Kenneth Kak Yuen4; Miao, Xiaoping4; Yu Qizhi1; Jun, Zhang3; Liu Shuli3; Li, Long1
关键词: Choledochal cyst ; Laparoscopic surgery ; Pediatrics
刊名: JOURNAL OF PEDIATRIC SURGERY
发表日期: 2011-04-01
DOI: 10.1016/j.jpedsurg.2010.10.012
卷: 46, 期:4, 页:662-665
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Pediatrics ; Surgery
研究领域[WOS]: Pediatrics ; Surgery
关键词[WOS]: MANAGEMENT ; COMPLICATIONS
英文摘要:

Purpose: Cyst excision with hepaticojejunostomy has been the classic procedure for treating choledochal cysts. Recently, laparoscopic treatment of the disease has gained popularity worldwide. The aim of this study is to evaluate whether laparoscopic management of choledochal cysts is as feasible and safe as conventional open surgery in children with this disease.

Methods: A retrospective study comparing the laparoscopic and the open procedures was performed in 77 consecutive patients with choledochal cyst in our hospital. Thirty-nine patients operated on between June 2001 and September 2003 were in the laparoscopic group, whereas 38 patients in the open group were operated on between February 1999 and May 2001.

Results: Patient demographics were similar between the 2 groups. The duration of operation was significantly longer in the laparoscopic group than in the open group (median, 230 vs 190 minutes; P < .001). In contrast, the durations of delayed oral feeding and hospital stay postoperatively were significantly shorter in the laparoscopic group (median, 4 vs 5 days [P < .01] and median, 5 vs 7 days [P < .01], respectively.) There were no differences in the early and late complication rates between the 2 groups.

Conclusions: Laparoscopic treatment of choledochal cyst in children is feasible and safe. For experienced centers, this procedure can be recommended. (C) 2011 Published by Elsevier Inc.

语种: 英语
项目资助者: Chinese government research foundation
WOS记录号: WOS:000289466100017
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54048
Appears in Collections:北京大学第一临床医学院_小儿外科_期刊论文

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作者单位: 1.Peking Univ, Hosp 1, Dept Pediat Surg, Beijing 100871, Peoples R China
2.Mil Gen Hosp Beijing, BaYi Childrens Hosp, Dept Pediat Surg, Beijing, Peoples R China
3.Capital Inst Pediat, Dept Pediat Surg, Beijing 100034, Peoples R China
4.Univ Hong Kong, Ctr Med, Div Paediat Surg, Dept Surg,Queen Mary Hosp, Hong Kong, Hong Kong, Peoples R China

Recommended Citation:
Huang Liuming,Zhang Hongwu,Gang, Liu,et al. The effect of laparoscopic excision vs open excision in children with choledochal cyst: a midterm follow-up study[J]. JOURNAL OF PEDIATRIC SURGERY,2011,46(4):662-665.
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