Comparison of Therapeutic Effects of Laparoscopic and Open Operation for Congenital Choledochal Cysts in Adults
Background. Laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy for treating congenital choledochal cysts (CCCs) have proved to be efficacious in children. Its safety and efficacy in adult patients remain unknown. The purpose of this study was to determine whether the laparoscopic procedure...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/670260 |
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| author | Yuan Liu Xu Yao Shuqiang Li Wenhan Liu Lei Liu Jingang Liu |
| author_facet | Yuan Liu Xu Yao Shuqiang Li Wenhan Liu Lei Liu Jingang Liu |
| author_sort | Yuan Liu |
| collection | DOAJ |
| description | Background. Laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy for treating congenital choledochal cysts (CCCs) have proved to be efficacious in children. Its safety and efficacy in adult patients remain unknown. The purpose of this study was to determine whether the laparoscopic procedure was feasible and safe in adult patients. Methods. We reviewed 35 patients who underwent laparoscopic operation (laparoscopic group) and 39 patients who underwent an open procedure (open group). The operative time, intraoperative blood loss, time until bowel motion recovery, duration of drainage, postoperative stay, time until resumption of diet, postoperative complications, and perioperative laboratory values were recorded and analyzed in both groups. Results. The operative time was longer in the laparoscopic group and decreased significantly with accumulating surgical experience (P<0.01). The mean intraoperative blood loss was significantly lower in the laparoscopic group (P<0.01). The time until bowel peristalsis recovery, time until resumption of diet, abdominal drainage, and postoperative stay were significantly shorter in the laparoscopic group (P<0.01). The postoperative complication rate was not higher in the laparoscopic group than in the open group (P>0.05). Conclusions. Laparoscopic cyst excision and hepaticojejunostomy are a feasible, effective, and safe method for treating CCCs in adult patients. |
| format | Article |
| id | doaj-art-2c6c6b1ce3b448f2a38099cded39f44a |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-2c6c6b1ce3b448f2a38099cded39f44a2025-02-03T01:29:56ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/670260670260Comparison of Therapeutic Effects of Laparoscopic and Open Operation for Congenital Choledochal Cysts in AdultsYuan Liu0Xu Yao1Shuqiang Li2Wenhan Liu3Lei Liu4Jingang Liu5Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang City 110004, ChinaDepartment of General Surgery, Shengjing Hospital of China Medical University, Shenyang City 110004, ChinaDepartment of General Surgery, Shengjing Hospital of China Medical University, Shenyang City 110004, ChinaDepartment of General Surgery, Shengjing Hospital of China Medical University, Shenyang City 110004, ChinaDepartment of General Surgery, Shengjing Hospital of China Medical University, Shenyang City 110004, ChinaDepartment of General Surgery, Shengjing Hospital of China Medical University, Shenyang City 110004, ChinaBackground. Laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy for treating congenital choledochal cysts (CCCs) have proved to be efficacious in children. Its safety and efficacy in adult patients remain unknown. The purpose of this study was to determine whether the laparoscopic procedure was feasible and safe in adult patients. Methods. We reviewed 35 patients who underwent laparoscopic operation (laparoscopic group) and 39 patients who underwent an open procedure (open group). The operative time, intraoperative blood loss, time until bowel motion recovery, duration of drainage, postoperative stay, time until resumption of diet, postoperative complications, and perioperative laboratory values were recorded and analyzed in both groups. Results. The operative time was longer in the laparoscopic group and decreased significantly with accumulating surgical experience (P<0.01). The mean intraoperative blood loss was significantly lower in the laparoscopic group (P<0.01). The time until bowel peristalsis recovery, time until resumption of diet, abdominal drainage, and postoperative stay were significantly shorter in the laparoscopic group (P<0.01). The postoperative complication rate was not higher in the laparoscopic group than in the open group (P>0.05). Conclusions. Laparoscopic cyst excision and hepaticojejunostomy are a feasible, effective, and safe method for treating CCCs in adult patients.http://dx.doi.org/10.1155/2014/670260 |
| spellingShingle | Yuan Liu Xu Yao Shuqiang Li Wenhan Liu Lei Liu Jingang Liu Comparison of Therapeutic Effects of Laparoscopic and Open Operation for Congenital Choledochal Cysts in Adults Gastroenterology Research and Practice |
| title | Comparison of Therapeutic Effects of Laparoscopic and Open Operation for Congenital Choledochal Cysts in Adults |
| title_full | Comparison of Therapeutic Effects of Laparoscopic and Open Operation for Congenital Choledochal Cysts in Adults |
| title_fullStr | Comparison of Therapeutic Effects of Laparoscopic and Open Operation for Congenital Choledochal Cysts in Adults |
| title_full_unstemmed | Comparison of Therapeutic Effects of Laparoscopic and Open Operation for Congenital Choledochal Cysts in Adults |
| title_short | Comparison of Therapeutic Effects of Laparoscopic and Open Operation for Congenital Choledochal Cysts in Adults |
| title_sort | comparison of therapeutic effects of laparoscopic and open operation for congenital choledochal cysts in adults |
| url | http://dx.doi.org/10.1155/2014/670260 |
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