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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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Published in: | Surgery today (Tokyo, Japan) Japan), 2018-01, Vol.48 (1), p.44-50 |
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creator | Aly, Mohammed Y. F. Mori, Yasuhisa Miyasaka, Yoshihiro Ohtsuka, Takao Sadakari, Yoshihiko Nakata, Kohei Oda, Yoshinao Shimizu, Shuji Nakamura, Masafumi |
description | 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
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doi_str_mv | 10.1007/s00595-017-1545-3 |
format | article |
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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
< 0.05).
Conclusion
Laparoscopic surgery for congenital biliary dilatation is feasible and provides acceptable results. Further prospective studies of larger numbers of patients are needed.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-017-1545-3</identifier><identifier>PMID: 28555266</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>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</subject><ispartof>Surgery today (Tokyo, Japan), 2018-01, Vol.48 (1), p.44-50</ispartof><rights>Springer Japan 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-162afd3202d9bf4ea32ab7541ba316d42cfa90fb5feff2a9bf86819c16be06243</citedby><cites>FETCH-LOGICAL-c434t-162afd3202d9bf4ea32ab7541ba316d42cfa90fb5feff2a9bf86819c16be06243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28555266$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aly, Mohammed Y. F.</creatorcontrib><creatorcontrib>Mori, Yasuhisa</creatorcontrib><creatorcontrib>Miyasaka, Yoshihiro</creatorcontrib><creatorcontrib>Ohtsuka, Takao</creatorcontrib><creatorcontrib>Sadakari, Yoshihiko</creatorcontrib><creatorcontrib>Nakata, Kohei</creatorcontrib><creatorcontrib>Oda, Yoshinao</creatorcontrib><creatorcontrib>Shimizu, Shuji</creatorcontrib><creatorcontrib>Nakamura, Masafumi</creatorcontrib><title>Laparoscopic surgery for congenital biliary dilatation: a single-institution experience</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>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
< 0.05).
Conclusion
Laparoscopic surgery for congenital biliary dilatation is feasible and provides acceptable results. Further prospective studies of larger numbers of patients are needed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bile Ducts - pathology</subject><subject>Bile Ducts - surgery</subject><subject>Biliary Tract Surgical Procedures - methods</subject><subject>Blood Loss, Surgical - statistics & numerical data</subject><subject>Dilatation, Pathologic</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Original Article</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LxDAQhoMo7rr6A7xIj16iM_na1puIX7DgRfEY0jRZsnTbmrSg_94sqx49Dcw888L7EHKOcIUAy-sEICtJAZcUpZCUH5A5Cq4oK5EfkjlUAimyCmfkJKUNABMlwDGZsVJKyZSak_eVGUzsk-2HYIs0xbWLX4XvY2H7bu26MJq2qEMbTF43oTWjGUPf3RSmSKFbt46GLo1hnHbbwn0OLgbXWXdKjrxpkzv7mQvy9nD_evdEVy-Pz3e3K2oFFyNFxYxvOAPWVLUXznBm6qUUWBuOqhHMelOBr6V33jOTmVKVWFlUtQPFBF-Qy33uEPuPyaVRb0Oyrm1N5_opaayAZwugVEZxj9rcN0Xn9RDDNvfSCHrnU-996uxT73xqnn8ufuKneuuav49fgRlgeyDlUxYW9aafYpcr_5P6DdYXgkU</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Aly, Mohammed Y. F.</creator><creator>Mori, Yasuhisa</creator><creator>Miyasaka, Yoshihiro</creator><creator>Ohtsuka, Takao</creator><creator>Sadakari, Yoshihiko</creator><creator>Nakata, Kohei</creator><creator>Oda, Yoshinao</creator><creator>Shimizu, Shuji</creator><creator>Nakamura, Masafumi</creator><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20180101</creationdate><title>Laparoscopic surgery for congenital biliary dilatation: a single-institution experience</title><author>Aly, Mohammed Y. F. ; Mori, Yasuhisa ; Miyasaka, Yoshihiro ; Ohtsuka, Takao ; Sadakari, Yoshihiko ; Nakata, Kohei ; Oda, Yoshinao ; Shimizu, Shuji ; Nakamura, Masafumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-162afd3202d9bf4ea32ab7541ba316d42cfa90fb5feff2a9bf86819c16be06243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Bile Ducts - pathology</topic><topic>Bile Ducts - surgery</topic><topic>Biliary Tract Surgical Procedures - methods</topic><topic>Blood Loss, Surgical - statistics & numerical data</topic><topic>Dilatation, Pathologic</topic><topic>Female</topic><topic>Humans</topic><topic>Laparoscopy - methods</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Original Article</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aly, Mohammed Y. F.</creatorcontrib><creatorcontrib>Mori, Yasuhisa</creatorcontrib><creatorcontrib>Miyasaka, Yoshihiro</creatorcontrib><creatorcontrib>Ohtsuka, Takao</creatorcontrib><creatorcontrib>Sadakari, Yoshihiko</creatorcontrib><creatorcontrib>Nakata, Kohei</creatorcontrib><creatorcontrib>Oda, Yoshinao</creatorcontrib><creatorcontrib>Shimizu, Shuji</creatorcontrib><creatorcontrib>Nakamura, Masafumi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aly, Mohammed Y. F.</au><au>Mori, Yasuhisa</au><au>Miyasaka, Yoshihiro</au><au>Ohtsuka, Takao</au><au>Sadakari, Yoshihiko</au><au>Nakata, Kohei</au><au>Oda, Yoshinao</au><au>Shimizu, Shuji</au><au>Nakamura, Masafumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic surgery for congenital biliary dilatation: a single-institution experience</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>48</volume><issue>1</issue><spage>44</spage><epage>50</epage><pages>44-50</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>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
< 0.05).
Conclusion
Laparoscopic surgery for congenital biliary dilatation is feasible and provides acceptable results. Further prospective studies of larger numbers of patients are needed.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>28555266</pmid><doi>10.1007/s00595-017-1545-3</doi><tpages>7</tpages></addata></record> |
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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 |
title | Laparoscopic surgery for congenital biliary dilatation: a single-institution experience |
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