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Conference Paper: When is the best time to perform laparoscopic excision of choledochal cyst?
Title | When is the best time to perform laparoscopic excision of choledochal cyst? |
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Authors | |
Issue Date | 2014 |
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? |
Abstract | BACKGROUND/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. |
Description | Oral Presentations: All Short Oral (SO): no. SO15 |
Persistent Identifier | http://hdl.handle.net/10722/198207 |
DC Field | Value | Language |
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dc.contributor.author | Wang, B | en_US |
dc.contributor.author | Wong, KKY | en_US |
dc.date.accessioned | 2014-06-25T02:54:47Z | - |
dc.date.available | 2014-06-25T02:54:47Z | - |
dc.date.issued | 2014 | en_US |
dc.identifier.citation | The 47th Annual Scientific Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2014), Banff, AB., Canada, 25-29 May 2014. | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/198207 | - |
dc.description | Oral Presentations: All Short Oral (SO): no. SO15 | - |
dc.description.abstract | BACKGROUND/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.language | eng | en_US |
dc.relation.ispartof | Annual Scientific Meeting of the Pacific Association of Pediatric Surgeons, PAPS 2014 | en_US |
dc.title | When is the best time to perform laparoscopic excision of choledochal cyst? | en_US |
dc.type | Conference_Paper | en_US |
dc.identifier.email | Wong, KKY: kkywong@hku.hk | en_US |
dc.identifier.authority | Wong, KKY=rp01392 | en_US |
dc.identifier.hkuros | 229590 | en_US |