Wang Zhe,Yu Jiakang,He Qiuming,et al.Preliminary study of the safety and efficacy of modified single-incision laparoscopy for choledochal cysts:a retrospective cohort study[J].Journal of Clinical Pediatric Surgery,,():10-15.[doi:10.3760/cma.j.cn101785-202306038-003]
Preliminary study of the safety and efficacy of modified single-incision laparoscopy for choledochal cysts:a retrospective cohort study
- Keywords:
- Choledochal Cysts; Congenital Biliary Dilatation; Minimally Invasive Surgery; Enhanced Recovery; Surgical Procedures; Operative; Child
- Abstract:
- Objective To explore the safety and efficacy of single-port laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy (SPCH).Methods Between January 1,2018,and December 31,2022,62 consecutive cases of choledochal cysts were recruited.The procedure was either SPCH (n=43) or multiple-port laparoscopic choledochal cysts excision and Roux-en-Y hepaticojejunostomy (MPCH) (n=19).Magnetic resonance cholangiopancreatography (MRCP) was performed.Baseline clinical characteristics,short-term efficacy and safety outcomes were examined through reviewing the relevant medical records.Results No significant inter-group differences existed in such baseline clinical characteristics as gender,operative age,Todani classification,clinical presentation,prenatal diagnosis & longest diameter of cyst.Average postoperative hospitalization stay of SPCH group was shorter than that of MPCH group (7.14±2.70 vs.7.58±3.27 day,P=0.892).However,the inter-group difference was not statistically significant.Operative duration (266.79±69.39 vs.277.32±90.23 min,P=0.913) and volume of blood loss (8.88±12.37 vs.16.68±34.84 mL,P=0.758) were similar between two groups.MPCH group had a significantly higher number of drainage tubing than SPCH group (11 vs.7;P=0.0009).One child in SPCH group developed stenosis after hepaticojejunostomy.During follow-ups,no other complications occurred.Conclusions SPCH is as safe and effective as MPCH for choledochal cysts.It helps to lower the difficulty of single-incision laparoscopy.
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Memo
收稿日期:2023-6-24。
基金项目:广东省医学科学技术研究基金(2022111719927242)
通讯作者:钟微,Email:zhongwei@gwcmc.org