Xu Zhongya,Du Baofeng,Yi Jun,et al.Comparative Study on laparoscopic or laparotomy total cyst excision in treating congenital choledochalcyst[J].Journal of Clinical Pediatric Surgery,,17():692-698.
Comparative Study on laparoscopic or laparotomy total cyst excision in treating congenital choledochalcyst
- Keywords:
- Laparoscopic total cyst excision; Laparotomic total cyst excision; Choledochal cyst; Growth and development; Psychological behaviors
- Document code:
- A
- Abstract:
- Objective To study the psychological situations、growth and development of children underwent laparoscopic or laparotomic total cyst excision over the past decade. Methods From July 1, 2005 to July 1, 2015, a total of 126 children with choledocho cyst underwent laparoscopic (A, n=46) and laparotomic (B, n=80) total cyst excision. Retrospective analysis was performed for perioperative profiles of two groups. The follow-up period was 5 years. Results During perioperative period, laparoscopy was superior to laparotomy in terms of intraoperative bleeding , recovery time of intestional function, white blood cell count, restoring level of C-reactive protein and hospitalization length(P < 0.05). Yet two groups had no statistical differences in removal durations of gastrointestinal decompression and abdominal irrigation tubes (P > 0.05). And no obvious statistical differences existed in the post-discharge levels of biochemical parameters (aspartate aminotransferase, alanine aminotransferase, total protein and total bilirubin) (P > 0.05). In laparoscopic group, there were fever (n=5), incomplete intestinal obstruction (n=1) and biliary fistula (n=1); in laparotomic group, fever (n=7), incomplete intestinal obstruction (n=2), biliary fistula (n=2) and active bleeding (n=1). No inter-group statistical difference existed in immediate complications (P > 0.05) Conclusion The advantages of laparoscopic versus laparotomic total cyst excision include minimal bleeding, smaller incision, faster healing and shorter postoperative hospital day. No significant inter-group difference exists in growth and development. The long-term psychological impact requires further studies.
References:
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