Laparoscopic excision of choledochal cysts in children: an intermediate-term report
Purpose To assess the intermediate-term result of the use of the minimally invasive technique in the treatment of choledochal cysts in children. Methods This is a retrospective review of all cases of choledochal cyst treated in the tertiary referral centre. The surgical technique is described and al...
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| Veröffentlicht in: | Pediatric surgery international 2009-04, Vol.25 (4), p.355-360 |
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| creator | Lee, Kim Hung Tam, Y. H. Yeung, C. K. Chan, K. W. Sihoe, J. D. Y. Cheung, S. T. Mou, J. W. C. |
| description | Purpose
To assess the intermediate-term result of the use of the minimally invasive technique in the treatment of choledochal cysts in children.
Methods
This is a retrospective review of all cases of choledochal cyst treated in the tertiary referral centre. The surgical technique is described and all the medical records were reviewed to assess the intraoperative and postoperative complications and follow-up problems.
Results
From October 2000 to April 2008, laparoscopic excision and reconstruction were attempted in 37 patients. Laparoscopic surgery was successfully performed in 34. Conversion was required in three patients due to oozing on cyst dissection (two) and bleeding from small bowel mesentry (one) during the early part of the series. Postoperative complications were observed in 15 patients including subhepatic collection (6), bile leakage (3), minor wound infection (4) and prolonged ileus (2). At a mean follow-up of 4.2 years, four patients developed surgical complications including intrahepatic ductal strictures in a type IV cyst (one), stump pancreatitis (one), terminal ileal obstruction from internal herniation (one) and cholangitis (one). The cosmetic result was good in all patients.
Conclusion
We conclude that laparoscopic excision and reconstruction can be safely performed in children with a choledochal cyst with satisfactory intermediate-term results. |
| doi_str_mv | 10.1007/s00383-009-2343-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67083245</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1669587791</sourcerecordid><originalsourceid>FETCH-LOGICAL-c398t-ee4615355720338750ead19f9d8630cf91ccc4a23d31044f8e0416ec6b2abf643</originalsourceid><addsrcrecordid>eNp1kMtKAzEUhoMotlYfwI0MLtxFTy6TmbiT4g0KLtR1SDNn7JTpZEymYN_elBYKgqvcvvOfk4-QSwa3DKC4iwCiFBRAUy6koPqIjJkUBdUlE8dkDKzQFERejshZjEsAKIXSp2TENM_zQvExeZ_Z3gYfne8bl-GPa2Lju8zXmVv4FivvFrbN3CYOMWu6dNm0VcDuPrNdOg8YVlg1dkC63WYBex-Gc3JS2zbixX6dkM-nx4_pC529Pb9OH2bUCV0OFFEqlos0CAchyiIHtBXTta5KJcDVmjnnpOWiEgykrEsEyRQ6Ned2XispJuRml9sH_73GOJhVEx22re3Qr6NRRfovl3kCr_-AS78OXZrNcM6VVpyzBLEd5JKOGLA2fWhWNmwMA7PVbXa6TdJttrqNTjVX--D1PIk4VOz9JoDvgJieui8Mh87_p_4CXT-KMQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>222696221</pqid></control><display><type>article</type><title>Laparoscopic excision of choledochal cysts in children: an intermediate-term report</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Lee, Kim Hung ; Tam, Y. H. ; Yeung, C. K. ; Chan, K. W. ; Sihoe, J. D. Y. ; Cheung, S. T. ; Mou, J. W. C.</creator><creatorcontrib>Lee, Kim Hung ; Tam, Y. H. ; Yeung, C. K. ; Chan, K. W. ; Sihoe, J. D. Y. ; Cheung, S. T. ; Mou, J. W. C.</creatorcontrib><description>Purpose
To assess the intermediate-term result of the use of the minimally invasive technique in the treatment of choledochal cysts in children.
Methods
This is a retrospective review of all cases of choledochal cyst treated in the tertiary referral centre. The surgical technique is described and all the medical records were reviewed to assess the intraoperative and postoperative complications and follow-up problems.
Results
From October 2000 to April 2008, laparoscopic excision and reconstruction were attempted in 37 patients. Laparoscopic surgery was successfully performed in 34. Conversion was required in three patients due to oozing on cyst dissection (two) and bleeding from small bowel mesentry (one) during the early part of the series. Postoperative complications were observed in 15 patients including subhepatic collection (6), bile leakage (3), minor wound infection (4) and prolonged ileus (2). At a mean follow-up of 4.2 years, four patients developed surgical complications including intrahepatic ductal strictures in a type IV cyst (one), stump pancreatitis (one), terminal ileal obstruction from internal herniation (one) and cholangitis (one). The cosmetic result was good in all patients.
Conclusion
We conclude that laparoscopic excision and reconstruction can be safely performed in children with a choledochal cyst with satisfactory intermediate-term results.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-009-2343-9</identifier><identifier>PMID: 19255762</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Anastomosis, Surgical - methods ; Child ; Child, Preschool ; Choledochal Cyst - diagnosis ; Choledochal Cyst - surgery ; Female ; Follow-Up Studies ; Hepatic Duct, Common - surgery ; Humans ; Infant ; Infant, Newborn ; Jejunostomy - methods ; Laparoscopy - methods ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Surgery ; Time Factors ; Treatment Outcome</subject><ispartof>Pediatric surgery international, 2009-04, Vol.25 (4), p.355-360</ispartof><rights>Springer-Verlag 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-ee4615355720338750ead19f9d8630cf91ccc4a23d31044f8e0416ec6b2abf643</citedby><cites>FETCH-LOGICAL-c398t-ee4615355720338750ead19f9d8630cf91ccc4a23d31044f8e0416ec6b2abf643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-009-2343-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-009-2343-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19255762$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Kim Hung</creatorcontrib><creatorcontrib>Tam, Y. H.</creatorcontrib><creatorcontrib>Yeung, C. K.</creatorcontrib><creatorcontrib>Chan, K. W.</creatorcontrib><creatorcontrib>Sihoe, J. D. Y.</creatorcontrib><creatorcontrib>Cheung, S. T.</creatorcontrib><creatorcontrib>Mou, J. W. C.</creatorcontrib><title>Laparoscopic excision of choledochal cysts in children: an intermediate-term report</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
To assess the intermediate-term result of the use of the minimally invasive technique in the treatment of choledochal cysts in children.
Methods
This is a retrospective review of all cases of choledochal cyst treated in the tertiary referral centre. The surgical technique is described and all the medical records were reviewed to assess the intraoperative and postoperative complications and follow-up problems.
Results
From October 2000 to April 2008, laparoscopic excision and reconstruction were attempted in 37 patients. Laparoscopic surgery was successfully performed in 34. Conversion was required in three patients due to oozing on cyst dissection (two) and bleeding from small bowel mesentry (one) during the early part of the series. Postoperative complications were observed in 15 patients including subhepatic collection (6), bile leakage (3), minor wound infection (4) and prolonged ileus (2). At a mean follow-up of 4.2 years, four patients developed surgical complications including intrahepatic ductal strictures in a type IV cyst (one), stump pancreatitis (one), terminal ileal obstruction from internal herniation (one) and cholangitis (one). The cosmetic result was good in all patients.
Conclusion
We conclude that laparoscopic excision and reconstruction can be safely performed in children with a choledochal cyst with satisfactory intermediate-term results.</description><subject>Adolescent</subject><subject>Anastomosis, Surgical - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Choledochal Cyst - diagnosis</subject><subject>Choledochal Cyst - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hepatic Duct, Common - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Jejunostomy - methods</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kMtKAzEUhoMotlYfwI0MLtxFTy6TmbiT4g0KLtR1SDNn7JTpZEymYN_elBYKgqvcvvOfk4-QSwa3DKC4iwCiFBRAUy6koPqIjJkUBdUlE8dkDKzQFERejshZjEsAKIXSp2TENM_zQvExeZ_Z3gYfne8bl-GPa2Lju8zXmVv4FivvFrbN3CYOMWu6dNm0VcDuPrNdOg8YVlg1dkC63WYBex-Gc3JS2zbixX6dkM-nx4_pC529Pb9OH2bUCV0OFFEqlos0CAchyiIHtBXTta5KJcDVmjnnpOWiEgykrEsEyRQ6Ned2XispJuRml9sH_73GOJhVEx22re3Qr6NRRfovl3kCr_-AS78OXZrNcM6VVpyzBLEd5JKOGLA2fWhWNmwMA7PVbXa6TdJttrqNTjVX--D1PIk4VOz9JoDvgJieui8Mh87_p_4CXT-KMQ</recordid><startdate>20090401</startdate><enddate>20090401</enddate><creator>Lee, Kim Hung</creator><creator>Tam, Y. H.</creator><creator>Yeung, C. K.</creator><creator>Chan, K. W.</creator><creator>Sihoe, J. D. Y.</creator><creator>Cheung, S. T.</creator><creator>Mou, J. W. C.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090401</creationdate><title>Laparoscopic excision of choledochal cysts in children: an intermediate-term report</title><author>Lee, Kim Hung ; Tam, Y. H. ; Yeung, C. K. ; Chan, K. W. ; Sihoe, J. D. Y. ; Cheung, S. T. ; Mou, J. W. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-ee4615355720338750ead19f9d8630cf91ccc4a23d31044f8e0416ec6b2abf643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Anastomosis, Surgical - methods</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Choledochal Cyst - diagnosis</topic><topic>Choledochal Cyst - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hepatic Duct, Common - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Jejunostomy - methods</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Kim Hung</creatorcontrib><creatorcontrib>Tam, Y. H.</creatorcontrib><creatorcontrib>Yeung, C. K.</creatorcontrib><creatorcontrib>Chan, K. W.</creatorcontrib><creatorcontrib>Sihoe, J. D. Y.</creatorcontrib><creatorcontrib>Cheung, S. T.</creatorcontrib><creatorcontrib>Mou, J. W. C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Kim Hung</au><au>Tam, Y. H.</au><au>Yeung, C. K.</au><au>Chan, K. W.</au><au>Sihoe, J. D. Y.</au><au>Cheung, S. T.</au><au>Mou, J. W. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic excision of choledochal cysts in children: an intermediate-term report</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2009-04-01</date><risdate>2009</risdate><volume>25</volume><issue>4</issue><spage>355</spage><epage>360</epage><pages>355-360</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
To assess the intermediate-term result of the use of the minimally invasive technique in the treatment of choledochal cysts in children.
Methods
This is a retrospective review of all cases of choledochal cyst treated in the tertiary referral centre. The surgical technique is described and all the medical records were reviewed to assess the intraoperative and postoperative complications and follow-up problems.
Results
From October 2000 to April 2008, laparoscopic excision and reconstruction were attempted in 37 patients. Laparoscopic surgery was successfully performed in 34. Conversion was required in three patients due to oozing on cyst dissection (two) and bleeding from small bowel mesentry (one) during the early part of the series. Postoperative complications were observed in 15 patients including subhepatic collection (6), bile leakage (3), minor wound infection (4) and prolonged ileus (2). At a mean follow-up of 4.2 years, four patients developed surgical complications including intrahepatic ductal strictures in a type IV cyst (one), stump pancreatitis (one), terminal ileal obstruction from internal herniation (one) and cholangitis (one). The cosmetic result was good in all patients.
Conclusion
We conclude that laparoscopic excision and reconstruction can be safely performed in children with a choledochal cyst with satisfactory intermediate-term results.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19255762</pmid><doi>10.1007/s00383-009-2343-9</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0179-0358 |
| ispartof | Pediatric surgery international, 2009-04, Vol.25 (4), p.355-360 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Anastomosis, Surgical - methods Child Child, Preschool Choledochal Cyst - diagnosis Choledochal Cyst - surgery Female Follow-Up Studies Hepatic Duct, Common - surgery Humans Infant Infant, Newborn Jejunostomy - methods Laparoscopy - methods Male Medicine Medicine & Public Health Original Article Pediatric Surgery Pediatrics Surgery Time Factors Treatment Outcome |
| title | Laparoscopic excision of choledochal cysts in children: an intermediate-term report |
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