The effect of laparoscopic excision vs open excision in children with choledochal cyst: a midterm follow-up study |
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Authors: | Liuming Huang Hongwu Zhang Gang Liu Jun Jia Wenying Hou Wong Kenneth Kak Yuen Miao Xiaoping Qizhi Yu Jun Zhang Shuli Liu Li Long |
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Affiliation: | a Department of Pediatric Surgery, BaYi Children's Hospital, The military general hospital of Beijing, China;b Department of Pediatric Surgery, the First Hospital, Peking University, Beijing, China;c Department of Pediatric Surgery, Capital Institute of Pediatrics, Beijing 100034, China;d Division of Paediatric Surgery, Department of Surgery, Queen Mary Hospital, University of Hong Kong Medical Centre; Hong Kong SAR, China |
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Abstract: | PurposeCyst 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.MethodsA 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.ResultsPatient 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.ConclusionsLaparoscopic treatment of choledochal cyst in children is feasible and safe. For experienced centers, this procedure can be recommended. |
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Keywords: | Choledochal cyst Laparoscopic surgery Pediatrics |
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