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Article: The effect of laparoscopic excision vs open excision in children with choledochal cyst: A midterm follow-up study

TitleThe effect of laparoscopic excision vs open excision in children with choledochal cyst: A midterm follow-up study
Authors
KeywordsCholedochal cyst
Laparoscopic surgery
Pediatrics
Issue Date2011
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
Journal Of Pediatric Surgery, 2011, v. 46 n. 4, p. 662-665 How to Cite?
AbstractPurpose: Cyst 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. Methods: A 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. Results: Patient 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. Conclusions: Laparoscopic treatment of choledochal cyst in children is feasible and safe. For experienced centers, this procedure can be recommended. © 2011 Elsevier Inc. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/135536
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID
Funding AgencyGrant Number
Chinese government research foundation
Funding Information:

Supported by grants from the National Science and Technology Infrastructure Program 11th 5-year plan (a Chinese government research foundation).

References

 

DC FieldValueLanguage
dc.contributor.authorLiuming, Hen_HK
dc.contributor.authorHongwu, Zen_HK
dc.contributor.authorGang, Len_HK
dc.contributor.authorJun, Jen_HK
dc.contributor.authorWenying, Hen_HK
dc.contributor.authorWong, KKYen_HK
dc.contributor.authorMiao, Xen_HK
dc.contributor.authorQizhi, Yen_HK
dc.contributor.authorJun, Zen_HK
dc.contributor.authorShuli, Len_HK
dc.contributor.authorLi, Len_HK
dc.date.accessioned2011-07-27T01:36:40Z-
dc.date.available2011-07-27T01:36:40Z-
dc.date.issued2011en_HK
dc.identifier.citationJournal Of Pediatric Surgery, 2011, v. 46 n. 4, p. 662-665en_HK
dc.identifier.issn0022-3468en_HK
dc.identifier.urihttp://hdl.handle.net/10722/135536-
dc.description.abstractPurpose: Cyst 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. Methods: A 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. Results: Patient 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. Conclusions: Laparoscopic treatment of choledochal cyst in children is feasible and safe. For experienced centers, this procedure can be recommended. © 2011 Elsevier Inc. All rights reserved.en_HK
dc.languageengen_US
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurgen_HK
dc.relation.ispartofJournal of Pediatric Surgeryen_HK
dc.subjectCholedochal cysten_HK
dc.subjectLaparoscopic surgeryen_HK
dc.subjectPediatricsen_HK
dc.subject.meshCholecystectomy, Laparoscopic - methods-
dc.subject.meshCholedochal Cyst - diagnosis - surgery-
dc.subject.meshJejunostomy - methods-
dc.subject.meshLaparoscopy - methods-
dc.subject.meshLaparotomy - methods-
dc.titleThe effect of laparoscopic excision vs open excision in children with choledochal cyst: A midterm follow-up studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3468&volume=46&issue=4&spage=662&epage=665&date=2011&atitle=The+effect+of+laparoscopic+excision+vs+open+excision+in+children+with+choledochal+cyst:+a+midterm+follow-up+study-
dc.identifier.emailWong, KKY: kkywong@hkucc.hku.hken_HK
dc.identifier.authorityWong, KKY=rp01392en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jpedsurg.2010.10.012en_HK
dc.identifier.pmid21496534-
dc.identifier.scopuseid_2-s2.0-79954515925en_HK
dc.identifier.hkuros187600en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79954515925&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume46en_HK
dc.identifier.issue4en_HK
dc.identifier.spage662en_HK
dc.identifier.epage665en_HK
dc.identifier.isiWOS:000289466100017-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLiuming, H=6504507233en_HK
dc.identifier.scopusauthoridHongwu, Z=6507943054en_HK
dc.identifier.scopusauthoridGang, L=7006330314en_HK
dc.identifier.scopusauthoridJun, J=7202753035en_HK
dc.identifier.scopusauthoridWenying, H=48762186500en_HK
dc.identifier.scopusauthoridWong, KKY=24438686400en_HK
dc.identifier.scopusauthoridMiao, X=7102585391en_HK
dc.identifier.scopusauthoridQizhi, Y=6508248214en_HK
dc.identifier.scopusauthoridJun, Z=23990769200en_HK
dc.identifier.scopusauthoridShuli, L=48762018600en_HK
dc.identifier.scopusauthoridLi, L=35315977900en_HK

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