File Download
There are no files associated with this item.
Supplementary
-
Citations:
- Appears in Collections:
Conference Paper: Does antenatal diagnosis affect the outcome of choledochal cyst?
Title | Does antenatal diagnosis affect the outcome of choledochal cyst? |
---|---|
Authors | |
Issue Date | 2018 |
Publisher | The Pacific Association of Pediatric Surgeons. |
Citation | The 51st Annual Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2018), Sapporo, Japan, 14-17 May 2018. In Program Book, p. 255 How to Cite? |
Abstract | Background: Advances in antenatal imaging has enabled diagnosis of choledochal cysts to be made
during the antenatal period; whether this affects the outcome remains undetermined. The objective of this study is to evaluate the effect of antenatal diagnosis on the timing and outcome of surgery.
Materials and methods: A retrospective study was conducted of patients with laparoscopic excision of
choledochal cysts in a single-center between 2005 and 2017. The clinical presentations, operative details and outcomes were compared between two groups; antenatal (AN) vs postnatal (PN) diagnosis.
Results: A total of 42 patients were identified, 2 were excluded for incomplete data. Eleven (28%)
patients had antenatal diagnosis and underwent surgery prior to symptoms at a mean age at operation of 21.7 months. In contrast, the PN group all presented symptomatically and they were operated at significantly older age of 54.7 months (p = 0.03). There was no significant difference in the operative duration (AN vs PN=299+/-121mins vs 321+/-130 mins, p=0.66). There was a higher conversion rate in the PN group although not statistically significant (AN vs PN=1:9, p=0.15).In terms of complication rate, there was no significant difference (Clavien-Dindo grade IIIb or above) between AN (18%) vs PN (17%)
(p=0.94); time to enteral feeding (AN 5.1 days vs PN 4.7 days, p=0.98) and length of hospital stay (AN 9.6 days vs PN 12 days, p=0.98).
Conclusion: Antenatal diagnosis of choledochal cysts allows for earlier definitive surgery. With
comparable operative times and complication rates, laparoscopic excision at an earlier age is recommended. |
Description | Poster presentation - no. P-045 |
Persistent Identifier | http://hdl.handle.net/10722/258176 |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Yu, M | - |
dc.contributor.author | Chung, HY | - |
dc.contributor.author | Wong, KKY | - |
dc.date.accessioned | 2018-08-22T01:34:11Z | - |
dc.date.available | 2018-08-22T01:34:11Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | The 51st Annual Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2018), Sapporo, Japan, 14-17 May 2018. In Program Book, p. 255 | - |
dc.identifier.uri | http://hdl.handle.net/10722/258176 | - |
dc.description | Poster presentation - no. P-045 | - |
dc.description.abstract | Background: Advances in antenatal imaging has enabled diagnosis of choledochal cysts to be made during the antenatal period; whether this affects the outcome remains undetermined. The objective of this study is to evaluate the effect of antenatal diagnosis on the timing and outcome of surgery. Materials and methods: A retrospective study was conducted of patients with laparoscopic excision of choledochal cysts in a single-center between 2005 and 2017. The clinical presentations, operative details and outcomes were compared between two groups; antenatal (AN) vs postnatal (PN) diagnosis. Results: A total of 42 patients were identified, 2 were excluded for incomplete data. Eleven (28%) patients had antenatal diagnosis and underwent surgery prior to symptoms at a mean age at operation of 21.7 months. In contrast, the PN group all presented symptomatically and they were operated at significantly older age of 54.7 months (p = 0.03). There was no significant difference in the operative duration (AN vs PN=299+/-121mins vs 321+/-130 mins, p=0.66). There was a higher conversion rate in the PN group although not statistically significant (AN vs PN=1:9, p=0.15).In terms of complication rate, there was no significant difference (Clavien-Dindo grade IIIb or above) between AN (18%) vs PN (17%) (p=0.94); time to enteral feeding (AN 5.1 days vs PN 4.7 days, p=0.98) and length of hospital stay (AN 9.6 days vs PN 12 days, p=0.98). Conclusion: Antenatal diagnosis of choledochal cysts allows for earlier definitive surgery. With comparable operative times and complication rates, laparoscopic excision at an earlier age is recommended. | - |
dc.language | eng | - |
dc.publisher | The Pacific Association of Pediatric Surgeons. | - |
dc.relation.ispartof | The 51st Annual Meeting of the Pacific Association of Pediatric Surgeons, 2018 | - |
dc.title | Does antenatal diagnosis affect the outcome of choledochal cyst? | - |
dc.type | Conference_Paper | - |
dc.identifier.email | Chung, HY: chungphy@hku.hk | - |
dc.identifier.email | Wong, KKY: kkywong@hku.hk | - |
dc.identifier.authority | Chung, HY=rp02002 | - |
dc.identifier.authority | Wong, KKY=rp01392 | - |
dc.identifier.hkuros | 286708 | - |
dc.identifier.spage | 255 | - |
dc.identifier.epage | 255 | - |