Laparoscopic versus Open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results
Background Laparoscopic hepatojejunostomy (LH) for children with choledochal cysts (CDC) has been gaining popularity recently. However, its safety and efficacy remain unknown. The purpose of this study was to evaluate the intermediate-term results of LH for CDC children. Methods We reviewed 218 pati...
Gespeichert in:
| Veröffentlicht in: | Surgical endoscopy 2011-05, Vol.25 (5), p.1567-1573 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1573 |
|---|---|
| container_issue | 5 |
| container_start_page | 1567 |
| container_title | Surgical endoscopy |
| container_volume | 25 |
| creator | Diao, Mei Li, Long Cheng, Wei |
| description | Background
Laparoscopic hepatojejunostomy (LH) for children with choledochal cysts (CDC) has been gaining popularity recently. However, its safety and efficacy remain unknown. The purpose of this study was to evaluate the intermediate-term results of LH for CDC children.
Methods
We reviewed 218 patients who underwent LH between October 2001 and October 2009 and 200 patients who underwent open hepatojejunostomy (OH) between September 1993 and September 2001. Ultrasonography, upper gastrointestinal contrast studies, and laboratory tests were performed during the follow-up period. Age, operative blood loss, operative time, postoperative hospital stay, time to full feed, duration of drainage, postoperative complications, and perioperative laboratory tests were evaluated in both groups.
Results
The median follow-up periods of the LH and OH groups were 38 and 146 months, respectively. There was no significant difference in age between the two groups. Interestingly, the operative time of the LH group decreased significantly with increasing number of cases (
P
|
| doi_str_mv | 10.1007/s00464-010-1435-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_860877582</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>860877582</sourcerecordid><originalsourceid>FETCH-LOGICAL-c400t-374393c10cda17cd2a9c19fc5a55a3ab6915b6908b5d2df976b847a8c608d673</originalsourceid><addsrcrecordid>eNp1kVFrFDEQx4Mo9lr9AL5IEMSn2Ek22ez6JkWrcFCQvvRpyWWz3h65zZpJ7N2D37057rRQ8CWZIb__zGT-hLzh8JED6EsEkLVkwIFxWSm2e0YWJRBMCN48JwtoK2BCt_KMnCNuoOAtVy_JmeCghBZiQf4szWxiQBvm0dLfLmJGejO7if4IecfcxO7o2s0mhY3b5ClgCts9HUKkdj36PhbwfkzrkgXv-mDXxlO7x4Sf6DglF7euH01y7BAWmffhnuWZRofZJ3xFXgzGo3t9ui_I7dcvt1ff2PLm-vvV5yWzEiCxSsuqrSwH2xuubS9Ma3k7WGWUMpVZ1eVX5YBmpXrRD62uV43UprE1NH2tqwvy4Vh2juFXdpi67YjWeW8mFzJ2TeG0Vo0o5Lsn5CbkOJXZDpAQEjQvED9CtiwOoxu6OY5bE_cdh-5gTHc0poNDXozpdkXz9lQ4r8pO_in-OlGA9yfAoDV-iGayIz5yUlQKdF04ceSwPE0_XXyc8P_dHwDh3agZ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>860224071</pqid></control><display><type>article</type><title>Laparoscopic versus Open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Diao, Mei ; Li, Long ; Cheng, Wei</creator><creatorcontrib>Diao, Mei ; Li, Long ; Cheng, Wei</creatorcontrib><description>Background
Laparoscopic hepatojejunostomy (LH) for children with choledochal cysts (CDC) has been gaining popularity recently. However, its safety and efficacy remain unknown. The purpose of this study was to evaluate the intermediate-term results of LH for CDC children.
Methods
We reviewed 218 patients who underwent LH between October 2001 and October 2009 and 200 patients who underwent open hepatojejunostomy (OH) between September 1993 and September 2001. Ultrasonography, upper gastrointestinal contrast studies, and laboratory tests were performed during the follow-up period. Age, operative blood loss, operative time, postoperative hospital stay, time to full feed, duration of drainage, postoperative complications, and perioperative laboratory tests were evaluated in both groups.
Results
The median follow-up periods of the LH and OH groups were 38 and 146 months, respectively. There was no significant difference in age between the two groups. Interestingly, the operative time of the LH group decreased significantly with increasing number of cases (
P
< 0.01). The most recent operative time of the LH group did not differ from that of the OH group (3.04 vs. 2.95 h,
P
= 0.557). The operative blood loss of the LH group was significantly less (
P
< 0.001). The postoperative hospital stay, resumption of alimentation, and duration of drainage in the LH group were significantly shorter (
P
< 0.001, respectively). Two of 218 (0.9%) LH patients developed bile leak. This was significantly less than 11 of 200 (5.5%) in the OH group (
P
< 0.01). The morbidities of LH group were significantly lower than those of the OH group. Postoperative liver function tests and serum amylase levels normalized in both groups (
P
< 0.001).
Conclusions
Laparoscopic hepatojejunostomy is safe and effective. Its intermediate-term results are comparable to open surgery.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-010-1435-x</identifier><identifier>PMID: 21052722</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdomen ; Abdominal Surgery ; Adolescent ; Anastomosis, Roux-en-Y - adverse effects ; Bile ducts ; Bile Ducts, Intrahepatic - surgery ; Biological and medical sciences ; Blood Loss, Surgical ; Child ; Child, Preschool ; Choledochal Cyst - surgery ; Cysts ; Digestive system. Abdomen ; Dissection ; Endoscopy ; Female ; Gastroenterology ; Gynecology ; Hepatology ; Humans ; Infant ; Infant, Newborn ; Investigative techniques, diagnostic techniques (general aspects) ; Jejunum - surgery ; Laparoscopy ; Laparoscopy - adverse effects ; Length of Stay ; Liver - surgery ; Male ; Medical laboratories ; Medical sciences ; Medicine ; Medicine & Public Health ; Pediatrics ; Postoperative Complications ; Proctology ; Proteins ; Surgery ; Ultrasonic imaging</subject><ispartof>Surgical endoscopy, 2011-05, Vol.25 (5), p.1567-1573</ispartof><rights>Springer Science+Business Media, LLC 2010</rights><rights>2015 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-374393c10cda17cd2a9c19fc5a55a3ab6915b6908b5d2df976b847a8c608d673</citedby><cites>FETCH-LOGICAL-c400t-374393c10cda17cd2a9c19fc5a55a3ab6915b6908b5d2df976b847a8c608d673</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/s00464-010-1435-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-010-1435-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24235076$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21052722$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Diao, Mei</creatorcontrib><creatorcontrib>Li, Long</creatorcontrib><creatorcontrib>Cheng, Wei</creatorcontrib><title>Laparoscopic versus Open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Laparoscopic hepatojejunostomy (LH) for children with choledochal cysts (CDC) has been gaining popularity recently. However, its safety and efficacy remain unknown. The purpose of this study was to evaluate the intermediate-term results of LH for CDC children.
Methods
We reviewed 218 patients who underwent LH between October 2001 and October 2009 and 200 patients who underwent open hepatojejunostomy (OH) between September 1993 and September 2001. Ultrasonography, upper gastrointestinal contrast studies, and laboratory tests were performed during the follow-up period. Age, operative blood loss, operative time, postoperative hospital stay, time to full feed, duration of drainage, postoperative complications, and perioperative laboratory tests were evaluated in both groups.
Results
The median follow-up periods of the LH and OH groups were 38 and 146 months, respectively. There was no significant difference in age between the two groups. Interestingly, the operative time of the LH group decreased significantly with increasing number of cases (
P
< 0.01). The most recent operative time of the LH group did not differ from that of the OH group (3.04 vs. 2.95 h,
P
= 0.557). The operative blood loss of the LH group was significantly less (
P
< 0.001). The postoperative hospital stay, resumption of alimentation, and duration of drainage in the LH group were significantly shorter (
P
< 0.001, respectively). Two of 218 (0.9%) LH patients developed bile leak. This was significantly less than 11 of 200 (5.5%) in the OH group (
P
< 0.01). The morbidities of LH group were significantly lower than those of the OH group. Postoperative liver function tests and serum amylase levels normalized in both groups (
P
< 0.001).
Conclusions
Laparoscopic hepatojejunostomy is safe and effective. Its intermediate-term results are comparable to open surgery.</description><subject>Abdomen</subject><subject>Abdominal Surgery</subject><subject>Adolescent</subject><subject>Anastomosis, Roux-en-Y - adverse effects</subject><subject>Bile ducts</subject><subject>Bile Ducts, Intrahepatic - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood Loss, Surgical</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Choledochal Cyst - surgery</subject><subject>Cysts</subject><subject>Digestive system. Abdomen</subject><subject>Dissection</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Jejunum - surgery</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Length of Stay</subject><subject>Liver - surgery</subject><subject>Male</subject><subject>Medical laboratories</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pediatrics</subject><subject>Postoperative Complications</subject><subject>Proctology</subject><subject>Proteins</subject><subject>Surgery</subject><subject>Ultrasonic imaging</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kVFrFDEQx4Mo9lr9AL5IEMSn2Ek22ez6JkWrcFCQvvRpyWWz3h65zZpJ7N2D37057rRQ8CWZIb__zGT-hLzh8JED6EsEkLVkwIFxWSm2e0YWJRBMCN48JwtoK2BCt_KMnCNuoOAtVy_JmeCghBZiQf4szWxiQBvm0dLfLmJGejO7if4IecfcxO7o2s0mhY3b5ClgCts9HUKkdj36PhbwfkzrkgXv-mDXxlO7x4Sf6DglF7euH01y7BAWmffhnuWZRofZJ3xFXgzGo3t9ui_I7dcvt1ff2PLm-vvV5yWzEiCxSsuqrSwH2xuubS9Ma3k7WGWUMpVZ1eVX5YBmpXrRD62uV43UprE1NH2tqwvy4Vh2juFXdpi67YjWeW8mFzJ2TeG0Vo0o5Lsn5CbkOJXZDpAQEjQvED9CtiwOoxu6OY5bE_cdh-5gTHc0poNDXozpdkXz9lQ4r8pO_in-OlGA9yfAoDV-iGayIz5yUlQKdF04ceSwPE0_XXyc8P_dHwDh3agZ</recordid><startdate>20110501</startdate><enddate>20110501</enddate><creator>Diao, Mei</creator><creator>Li, Long</creator><creator>Cheng, Wei</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><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>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20110501</creationdate><title>Laparoscopic versus Open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results</title><author>Diao, Mei ; Li, Long ; Cheng, Wei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-374393c10cda17cd2a9c19fc5a55a3ab6915b6908b5d2df976b847a8c608d673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abdomen</topic><topic>Abdominal Surgery</topic><topic>Adolescent</topic><topic>Anastomosis, Roux-en-Y - adverse effects</topic><topic>Bile ducts</topic><topic>Bile Ducts, Intrahepatic - surgery</topic><topic>Biological and medical sciences</topic><topic>Blood Loss, Surgical</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Choledochal Cyst - surgery</topic><topic>Cysts</topic><topic>Digestive system. Abdomen</topic><topic>Dissection</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Jejunum - surgery</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Length of Stay</topic><topic>Liver - surgery</topic><topic>Male</topic><topic>Medical laboratories</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pediatrics</topic><topic>Postoperative Complications</topic><topic>Proctology</topic><topic>Proteins</topic><topic>Surgery</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Diao, Mei</creatorcontrib><creatorcontrib>Li, Long</creatorcontrib><creatorcontrib>Cheng, Wei</creatorcontrib><collection>Pascal-Francis</collection><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>ProQuest Pharma Collection</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</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</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>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Diao, Mei</au><au>Li, Long</au><au>Cheng, Wei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic versus Open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2011-05-01</date><risdate>2011</risdate><volume>25</volume><issue>5</issue><spage>1567</spage><epage>1573</epage><pages>1567-1573</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Background
Laparoscopic hepatojejunostomy (LH) for children with choledochal cysts (CDC) has been gaining popularity recently. However, its safety and efficacy remain unknown. The purpose of this study was to evaluate the intermediate-term results of LH for CDC children.
Methods
We reviewed 218 patients who underwent LH between October 2001 and October 2009 and 200 patients who underwent open hepatojejunostomy (OH) between September 1993 and September 2001. Ultrasonography, upper gastrointestinal contrast studies, and laboratory tests were performed during the follow-up period. Age, operative blood loss, operative time, postoperative hospital stay, time to full feed, duration of drainage, postoperative complications, and perioperative laboratory tests were evaluated in both groups.
Results
The median follow-up periods of the LH and OH groups were 38 and 146 months, respectively. There was no significant difference in age between the two groups. Interestingly, the operative time of the LH group decreased significantly with increasing number of cases (
P
< 0.01). The most recent operative time of the LH group did not differ from that of the OH group (3.04 vs. 2.95 h,
P
= 0.557). The operative blood loss of the LH group was significantly less (
P
< 0.001). The postoperative hospital stay, resumption of alimentation, and duration of drainage in the LH group were significantly shorter (
P
< 0.001, respectively). Two of 218 (0.9%) LH patients developed bile leak. This was significantly less than 11 of 200 (5.5%) in the OH group (
P
< 0.01). The morbidities of LH group were significantly lower than those of the OH group. Postoperative liver function tests and serum amylase levels normalized in both groups (
P
< 0.001).
Conclusions
Laparoscopic hepatojejunostomy is safe and effective. Its intermediate-term results are comparable to open surgery.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>21052722</pmid><doi>10.1007/s00464-010-1435-x</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2011-05, Vol.25 (5), p.1567-1573 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_860877582 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Abdomen Abdominal Surgery Adolescent Anastomosis, Roux-en-Y - adverse effects Bile ducts Bile Ducts, Intrahepatic - surgery Biological and medical sciences Blood Loss, Surgical Child Child, Preschool Choledochal Cyst - surgery Cysts Digestive system. Abdomen Dissection Endoscopy Female Gastroenterology Gynecology Hepatology Humans Infant Infant, Newborn Investigative techniques, diagnostic techniques (general aspects) Jejunum - surgery Laparoscopy Laparoscopy - adverse effects Length of Stay Liver - surgery Male Medical laboratories Medical sciences Medicine Medicine & Public Health Pediatrics Postoperative Complications Proctology Proteins Surgery Ultrasonic imaging |
| title | Laparoscopic versus Open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-22T15%3A55%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Laparoscopic%20versus%20Open%20Roux-en-Y%20hepatojejunostomy%20for%20children%20with%20choledochal%20cysts:%20intermediate-term%20follow-up%20results&rft.jtitle=Surgical%20endoscopy&rft.au=Diao,%20Mei&rft.date=2011-05-01&rft.volume=25&rft.issue=5&rft.spage=1567&rft.epage=1573&rft.pages=1567-1573&rft.issn=0930-2794&rft.eissn=1432-2218&rft.coden=SUREEX&rft_id=info:doi/10.1007/s00464-010-1435-x&rft_dat=%3Cproquest_cross%3E860877582%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=860224071&rft_id=info:pmid/21052722&rfr_iscdi=true |