Open AccessComparison of outcomes of laparoscopic choledochal cyst excision and roux-en-y hepaticojejunostomy between children and adults
Author(s) -
Thanh Xuân Nguyễn
Publication year - 2019
Publication title -
ngoại khoa và phẫu thuật nội soi
Language(s) - English
Resource type - Journals
ISSN - 1859-4506
DOI - 10.51199/vjsel.2019.4.8
Subject(s) - medicine , choledochal cysts , roux en y anastomosis , surgery , cyst , laparoscopy , significant difference , pediatric surgery , blood loss , general surgery , gastric bypass , weight loss , obesity
: The aim of this study is to compare the outcomes of laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy between adults and childrenMaterial and Methods: A prospective study of 19 adults and 51 children with choledochal cyst treated by laparoscopic surgery at Hue Central Hospital from 1/2012 to 12/2017.Results: The average operative time was 219.79 ± 64.88 minutes. The average operative time in adults was longer than in children (233.42 vs 219.79 minutes). There was a statistically significant difference between two groups. Intraoperative blood transfusion was required in two patients in children group. The time from surgery to drainage removal was shorter in adults (2.89 vs 3.57 days). Postoperative follow-up results after 10 days to 3 months were classified as good and fair. There were no statistically significant differences in early postoperative complications, treatment outcomes between two groups.Conclusion: Laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy was safe and efficient in both adults and children. Operative time was longer in adults than in children.