Laparoscopic surgery for congenital biliary dilatation: a single-institution experience

Purpose Laparoscopic surgery as a treatment for congenital biliary dilatation is uncommon. We herein present a series of laparoscopic surgeries for congenital biliary dilatation performed in our institution and review our experience with this approach over a long period of time. Methods Medical reco...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2018-01, Vol.48 (1), p.44-50
Main Authors: Aly, Mohammed Y. F., Mori, Yasuhisa, Miyasaka, Yoshihiro, Ohtsuka, Takao, Sadakari, Yoshihiko, Nakata, Kohei, Oda, Yoshinao, Shimizu, Shuji, Nakamura, Masafumi
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Bile Ducts - pathology
Bile Ducts - surgery
Biliary Tract Surgical Procedures - methods
Blood Loss, Surgical - statistics & numerical data
Dilatation, Pathologic
Female
Humans
Laparoscopy - methods
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Middle Aged
Operative Time
Original Article
Postoperative Complications - epidemiology
Retrospective Studies
Surgery
Surgical Oncology
Treatment Outcome
Young Adult
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Summary:Purpose Laparoscopic surgery as a treatment for congenital biliary dilatation is uncommon. We herein present a series of laparoscopic surgeries for congenital biliary dilatation performed in our institution and review our experience with this approach over a long period of time. Methods Medical records of 36 consecutive patients who underwent laparoscopic surgery for congenital biliary dilatation from 1996 to 2015 were retrospectively reviewed. Data on patient demographics, operative time, blood loss, hospital stay, and complications were evaluated. A comparison between the former period (Group A, 1996–2005) and the latter period (Group B, 2006–2015) was performed. Results The patients comprised 23 females and 13 males with a median age of 34 years. The median operative time, blood loss, and hospital stay was 493 min, 154 g, and 11 days, respectively. Total early and late complications occurred in 7 (19%) and 2 (5%) patients, respectively. A comparison between Groups A and B revealed no significant difference in operative time or complications, but operative blood loss, open conversion, and hospital stay were significantly lower in Group B than in Group A ( P  
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-017-1545-3