|Laparoscopic excision of choledochal cyst and Roux-en-Y hepaticojejunostomy in symptomatic neonates|
|Liu, Shu-Li1; Li, Long1; Hou, Wen-Ying2; Zhang, Jun2; Huang, Liu-Ming1; Li, Xu2; Xie, Hua-Wei2; Cheng, Wei3,4|
|关键词||Choledochal cyst Neonate Laparoscopy Minimally invasive surgery|
|刊名||JOURNAL OF PEDIATRIC SURGERY|
|WOS标题词||Science & Technology|
|类目[WOS]||Pediatrics ; Surgery|
|研究领域[WOS]||Pediatrics ; Surgery|
|关键词[WOS]||ANTENATAL DIAGNOSIS ; DILATATION ; INFANCY ; DUCT|
Purpose: Choledochal cysts require surgical excision, preferably before the onset of cholangitis. Recently, it has become feasible to accomplish the excision laparoscopically in adults and older children. Yet, whether laparoscopic excision of choledochal cyst can be performed safely in symptomatic neonates with choledochal cyst is unclear. We herewith reviewed our experience of laparoscopic excision of choledochal cysts in neonates.
Methods: We managed 9 neonates with choledochal cysts between April 2003 and February 2007. The choledochal cysts were excised laparoscopically. The Roux-en-Y hepaticojejunostomy was fashioned extracorporeally by exteriorizing the jejunum through the extended umbilical port site. End-to-side anastomosis between the common hepatic duct stump and Roux loop was carried out intracorporeally. The patients were followed up for an average of 26 months.
Results: The patients presented with jaundice, pale stool, and deranged liver function tests. The diagnosis was confirmed with ultrasonography postnatally. The median operation time was 3.6 hours. There was no operative complication and no conversion. The blood loss was minimal. The recovery was uneventful, and the median hospital stay was 6 days. The liver function tests normalized 3 to 16 weeks postoperatively. No complication was detected at the follow-up visits.
Conclusions: Our preliminary results show that laparoscopic excision of choledochal cyst and Roux-en-Y hepaticojejunostomv in neonates is both feasible and safe. It curtails further complication of the cysts and reverses the derangement of liver function. In addition, the laparoscopic approach minimizes surgical trauma. (C) 2009 Elsevier Inc. All rights reserved.
|作者单位||1.Peking Univ, Hosp 1, Dept Pediat Surg, Beijing 100034, Peoples R China|
2.Capital Inst Pediat, Dept Pediat Surg, Beijing 100020, Peoples R China
3.Monash Med Ctr, Dept Pediat, Div Pediat Surg, Clayton, Vic 3800, Australia
4.Monash Med Ctr, Dept Surg, Div Pediat Surg, Clayton, Vic 3800, Australia
|Liu, Shu-Li,Li, Long,Hou, Wen-Ying,et al. Laparoscopic excision of choledochal cyst and Roux-en-Y hepaticojejunostomy in symptomatic neonates[J]. JOURNAL OF PEDIATRIC SURGERY,2009,44(3):508-511.|
|APA||Liu, Shu-Li.,Li, Long.,Hou, Wen-Ying.,Zhang, Jun.,Huang, Liu-Ming.,...&Cheng, Wei.(2009).Laparoscopic excision of choledochal cyst and Roux-en-Y hepaticojejunostomy in symptomatic neonates.JOURNAL OF PEDIATRIC SURGERY,44(3),508-511.|
|MLA||Liu, Shu-Li,et al."Laparoscopic excision of choledochal cyst and Roux-en-Y hepaticojejunostomy in symptomatic neonates".JOURNAL OF PEDIATRIC SURGERY 44.3(2009):508-511.|