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Conference Paper: When is the best time to perform laparoscopic excision of choledochal cyst?

TitleWhen is the best time to perform laparoscopic excision of choledochal cyst?
Authors
Issue Date2014
Citation
The 47th Annual Scientific Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2014), Banff, AB., Canada, 25-29 May 2014. How to Cite?
AbstractBACKGROUND/PURPOSE: Laparoscopic excision and Roux-en-Y hepaticojejunostomy is now the preferred method for the management of choledochal cyst. We undertook this study to investigate the best time of surgery which remains undetermined. METHODS: 98 cases were involved in this retrospective study from 2010 to 2013. 3 (3.1%) cases were converted to open. 95 cases with successfully laparoscopic surgery were divided into 4 groups: Group A (1 month–5 months); Group B (5 months–1 year); Group C (1 year–5 years); Group D (5 years–14 years). Operative time, intraoperative blood loss and short-term postoperative complications were recorded and analyzed. RESULTS: In 95 cases with successfully laparoscopic surgery, Bile leakage occurred in 6 (6.3%), chylous ascites in 1 (1.1%), 1 (1.1%) case suffered internal abdominal hernia six days postoperatively. 1 (1.1%) patient had Roux loop necrosis 3 months postoperatively. The incidence of postoperative complications in Group A was significantly higher than other groups (P<0.001), whilst the operative time was shortest in Group B (P<0.001). There was no significant difference in intraoperative blood loss and complication rate. CONCLUSIONS: The best time for laparoscopic excision of CC in children seems to be 6 months to 1 year old and infants with early diagnosis before 6 months should have surgery delayed.
DescriptionOral Presentations: All Short Oral (SO): no. SO15
Persistent Identifierhttp://hdl.handle.net/10722/198207

 

DC FieldValueLanguage
dc.contributor.authorWang, Ben_US
dc.contributor.authorWong, KKYen_US
dc.date.accessioned2014-06-25T02:54:47Z-
dc.date.available2014-06-25T02:54:47Z-
dc.date.issued2014en_US
dc.identifier.citationThe 47th Annual Scientific Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2014), Banff, AB., Canada, 25-29 May 2014.en_US
dc.identifier.urihttp://hdl.handle.net/10722/198207-
dc.descriptionOral Presentations: All Short Oral (SO): no. SO15-
dc.description.abstractBACKGROUND/PURPOSE: Laparoscopic excision and Roux-en-Y hepaticojejunostomy is now the preferred method for the management of choledochal cyst. We undertook this study to investigate the best time of surgery which remains undetermined. METHODS: 98 cases were involved in this retrospective study from 2010 to 2013. 3 (3.1%) cases were converted to open. 95 cases with successfully laparoscopic surgery were divided into 4 groups: Group A (1 month–5 months); Group B (5 months–1 year); Group C (1 year–5 years); Group D (5 years–14 years). Operative time, intraoperative blood loss and short-term postoperative complications were recorded and analyzed. RESULTS: In 95 cases with successfully laparoscopic surgery, Bile leakage occurred in 6 (6.3%), chylous ascites in 1 (1.1%), 1 (1.1%) case suffered internal abdominal hernia six days postoperatively. 1 (1.1%) patient had Roux loop necrosis 3 months postoperatively. The incidence of postoperative complications in Group A was significantly higher than other groups (P<0.001), whilst the operative time was shortest in Group B (P<0.001). There was no significant difference in intraoperative blood loss and complication rate. CONCLUSIONS: The best time for laparoscopic excision of CC in children seems to be 6 months to 1 year old and infants with early diagnosis before 6 months should have surgery delayed.-
dc.languageengen_US
dc.relation.ispartof47th PAPS Annual Scientific Meeting 2014en_US
dc.titleWhen is the best time to perform laparoscopic excision of choledochal cyst?en_US
dc.typeConference_Paperen_US
dc.identifier.emailWong, KKY: kkywong@hku.hken_US
dc.identifier.authorityWong, KKY=rp01392en_US
dc.identifier.hkuros229590en_US

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