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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Published in:Gastroenterology research and practice 2014-01, Vol.2014 (2014), p.1-8
Main Authors: Liu, Yuan, Yao, Xu, Li, Shuqiang, Liu, Wenhan, Liu, Lei, Liu, Jingang
Format: Article
Language:English
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Care and treatment
Comparative analysis
Cysts
Excision (Surgery)
Laparoscopic surgery
Laparoscopy
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Yao, Xu
Li, Shuqiang
Liu, Wenhan
Liu, Lei
Liu, Jingang
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
doi_str_mv 10.1155/2014/670260
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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&lt;0.01). The mean intraoperative blood loss was significantly lower in the laparoscopic group (P&lt;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&lt;0.01). The postoperative complication rate was not higher in the laparoscopic group than in the open group (P&gt;0.05). Conclusions. Laparoscopic cyst excision and hepaticojejunostomy are a feasible, effective, and safe method for treating CCCs in adult patients.</description><identifier>ISSN: 1687-6121</identifier><identifier>EISSN: 1687-630X</identifier><identifier>DOI: 10.1155/2014/670260</identifier><identifier>PMID: 24719612</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Puplishing Corporation</publisher><subject>Care and treatment ; Comparative analysis ; Cysts ; Excision (Surgery) ; Laparoscopic surgery ; Laparoscopy</subject><ispartof>Gastroenterology research and practice, 2014-01, Vol.2014 (2014), p.1-8</ispartof><rights>Copyright © 2014 Yuan Liu et al.</rights><rights>COPYRIGHT 2014 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2014 Yuan Liu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2014 Yuan Liu et al. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a672t-2edb1856c3eb77ef653372fb6164ba66006b2232145494c59fa4f9fdd71d4d8f3</citedby><cites>FETCH-LOGICAL-a672t-2edb1856c3eb77ef653372fb6164ba66006b2232145494c59fa4f9fdd71d4d8f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1710265125/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1710265125?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24719612$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Castells, Antoni</contributor><creatorcontrib>Liu, Yuan</creatorcontrib><creatorcontrib>Yao, Xu</creatorcontrib><creatorcontrib>Li, Shuqiang</creatorcontrib><creatorcontrib>Liu, Wenhan</creatorcontrib><creatorcontrib>Liu, Lei</creatorcontrib><creatorcontrib>Liu, Jingang</creatorcontrib><title>Comparison of Therapeutic Effects of Laparoscopic and Open Operation for Congenital Choledochal Cysts in Adults</title><title>Gastroenterology research and practice</title><addtitle>Gastroenterol Res Pract</addtitle><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&lt;0.01). The mean intraoperative blood loss was significantly lower in the laparoscopic group (P&lt;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&lt;0.01). The postoperative complication rate was not higher in the laparoscopic group than in the open group (P&gt;0.05). Conclusions. Laparoscopic cyst excision and hepaticojejunostomy are a feasible, effective, and safe method for treating CCCs in adult patients.</description><subject>Care and treatment</subject><subject>Comparative analysis</subject><subject>Cysts</subject><subject>Excision (Surgery)</subject><subject>Laparoscopic surgery</subject><subject>Laparoscopy</subject><issn>1687-6121</issn><issn>1687-630X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqFks2L1DAUwIso7oeePCsFL6LMbr7bXoRhWHVhYC8reAtp8jKToZPUpFX2vzfd7o6OCFJIw8vv_ZKXvKJ4hdEFxpxfEoTZpagQEehJcYpFXS0ERd-ePs4xwSfFWUo7hARBiD8vTgircJMXTouwCvteRZeCL4Mtb7cQVQ_j4HR5ZS3oIU3htcpMSDr0Oa68KW968NMQ1eBypg2xXAW_Ae8G1ZWrbejABL2d5ncpO5wvl2bshvSieGZVl-Dlw_-8-Prp6nb1ZbG--Xy9Wq4XSlRkWBAwLa650BTaqgIrOKUVsa3AgrVKiFxKSwglmHHWMM0bq5htrDEVNszUlp4X17PXBLWTfXR7Fe9kUE7eB0LcSBVzlR1IooUWLdZAW8ZqSxStUdNoA4Y2ljGVXR9nVz-2ezAa_BBVdyQ9XvFuKzfhh6QN5_nEWfDuQRDD9xHSIPcuaeg65SGMSWKOuWC0YjSjb_9Cd2GMPl-VxBXOb8wx4b-pjcoFOG9D3ldPUrlkmGFKm2pyXfyDyp-BvdPBg3U5fpTwYU7Q-bFTBHuoESM59Zqcek3OvZbpN39ey4F9bK4MvJ-BrfNG_XT_sb2eYcgIWHWAWd2guqa_ABNP5CQ</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Liu, Yuan</creator><creator>Yao, Xu</creator><creator>Li, Shuqiang</creator><creator>Liu, Wenhan</creator><creator>Liu, Lei</creator><creator>Liu, Jingang</creator><general>Hindawi Puplishing Corporation</general><general>Hindawi Publishing Corporation</general><general>John Wiley &amp; 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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&lt;0.01). The mean intraoperative blood loss was significantly lower in the laparoscopic group (P&lt;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&lt;0.01). The postoperative complication rate was not higher in the laparoscopic group than in the open group (P&gt;0.05). Conclusions. Laparoscopic cyst excision and hepaticojejunostomy are a feasible, effective, and safe method for treating CCCs in adult patients.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Puplishing Corporation</pub><pmid>24719612</pmid><doi>10.1155/2014/670260</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Care and treatment
Comparative analysis
Cysts
Excision (Surgery)
Laparoscopic surgery
Laparoscopy
title Comparison of Therapeutic Effects of Laparoscopic and Open Operation for Congenital Choledochal Cysts in Adults
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