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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
Main Authors: Aly, Mohammed Y. F., Mori, Yasuhisa, Miyasaka, Yoshihiro, Ohtsuka, Takao, Sadakari, Yoshihiko, Nakata, Kohei, Oda, Yoshinao, Shimizu, Shuji, Nakamura, Masafumi
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container_title Surgery today (Tokyo, Japan)
container_volume 48
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  
doi_str_mv 10.1007/s00595-017-1545-3
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F. ; Mori, Yasuhisa ; Miyasaka, Yoshihiro ; Ohtsuka, Takao ; Sadakari, Yoshihiko ; Nakata, Kohei ; Oda, Yoshinao ; Shimizu, Shuji ; Nakamura, Masafumi</creator><creatorcontrib>Aly, Mohammed Y. F. ; Mori, Yasuhisa ; Miyasaka, Yoshihiro ; Ohtsuka, Takao ; Sadakari, Yoshihiko ; Nakata, Kohei ; Oda, Yoshinao ; Shimizu, Shuji ; Nakamura, Masafumi</creatorcontrib><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  &lt; 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 &amp; numerical data ; Dilatation, Pathologic ; Female ; Humans ; Laparoscopy - methods ; Length of Stay - statistics &amp; numerical data ; Male ; Medicine ; Medicine &amp; 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  &lt; 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 &amp; numerical data</subject><subject>Dilatation, Pathologic</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay - statistics &amp; numerical data</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; 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. 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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  &lt; 0.05). 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source Springer Nature:Jisc Collections:Springer Nature Read and Publish 2023-2025: Springer Reading List
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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