• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Minimally invasive strategy for type I choledochal cyst in adult: combination of laparoscopy and choledochoscopy
【24h】

Minimally invasive strategy for type I choledochal cyst in adult: combination of laparoscopy and choledochoscopy

机译：成人中I型Choledochal囊肿的微创策略：腹腔镜和胆固度的组合

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Choledochal cyst (CC)is a rare disease entity, more commonly occurring in Asian populations. In case of no contraindication, CC is resected to avoid future malignancies and future complications. Objective To determine the optimal technique for treatment of patients with type I choledochal cyst by comparisons of indicators, including the duration of surgery, loss of blood, rates of complication, duration of hospitalization, and outcomes of long-term follow-up. Methods From January 2009 to September 2017, a combination of laparoscopy and choledochoscopy surgery was implemented for type I choledochal cyst in adult. Patients' demographics data and treatment outcomes were collected prospectively during the follow-up. Results Fifty-eight patients with type I choledochal cyst were managed using this strategy. The combination of laparoscopic and intraoperative choledochoscopy was successfully performed in all patients without conversion or morbidity. When compared with a historical cohort of 71 patients who underwent a surgery for CC, this group of patients had significantly shorter duration of hospitalization (9.0 +/- 6.5 days vs. 13.0 +/- 8.0 days, P < 0.05). We also observed a lower blood loss (128.8 +/- 60.2 mL vs. 178.1 +/- 58.2 mL, P < 0.05), although the duration of the surgery (320.0 +/- 50.0 min vs. 190.0 +/- 24.5 min, P < 0.05) was longer. However, no significant difference was found in the rate of postoperative bleeding complication (3.45% vs. 4.23%, P = 0.82) and bile leakage complication (6.90% vs. 4.23%, P = 0.51). The two groups had similar rates of anastomotic stenosis (0.96% vs. 0.61%%, P = 0.47), jaundice (0.58% vs. 0.61%, P = 0.95), cholangitis (0.38% vs. 0.30%, P = 0.81), and reoperation (0.38% vs. 0.15%, P = 0.43). Conclusion The type I choledochal cyst in adult can be effectively managed by laparoscopic surgery combined with inoperative choledochoscopy, which is feasible and minimally invasive. With the development of laparoscopic techniques and instruments, laparoscopic surgery may become the first-choice treatment for type I choledochal cyst treatment.
机译：背景胆总管囊肿（CC）是一种罕见的疾病，更常见于亚洲人群。在没有禁忌症的情况下，切除CC以避免未来的恶性肿瘤和并发症。目的通过比较手术时间、失血量、并发症发生率、住院时间和长期随访结果等指标，确定治疗I型胆总管囊肿的最佳方法。方法2009年1月至2017年9月，对成人I型胆总管囊肿施行腹腔镜和胆道镜联合手术。在随访期间前瞻性收集患者的人口统计学数据和治疗结果。结果58例I型胆总管囊肿患者采用该策略治疗。所有患者均成功实施了腹腔镜和术中胆道镜联合检查，无中转或并发症。与71例因CC接受手术的历史队列患者相比，这组患者的住院时间显著缩短（9.0+/-6.5天vs.13.0+/-8.0天，P<0.05）。我们还观察到失血量较低（128.8+/-60.2毫升对178.1+/-58.2毫升，P<0.05），尽管手术持续时间较长（320.0+/-50.0分钟对190.0+/-24.5分钟，P<0.05）。然而，术后出血并发症（3.45%对4.23%，P=0.82）和胆漏并发症（6.90%对4.23%，P=0.51）的发生率无显著差异。两组吻合口狭窄（0.96%对0.61%，P=0.47）、黄疸（0.58%对0.61%，P=0.95）、胆管炎（0.38%对0.30%，P=0.81）和再次手术（0.38%对0.15%，P=0.43）的发生率相似。结论腹腔镜联合胆道镜手术治疗成人I型胆总管囊肿是可行的、微创的。随着腹腔镜技术和器械的发展，腹腔镜手术可能成为I型胆总管囊肿的首选治疗方法。

著录项

  • 来源
    《Surgical Endoscopy》 |2021年第3期|共8页
  • 作者

    Yuan Haicheng; Dong Guoqiang; Zhang Nan; Sun Xiangyu; Zhao Hongzhi;

  • 作者单位

    Tianjin Nankai Hosp Dept Minimally Invas Surg 122 San Wei Rd Tianjin 300100 Peoples R China;

    Tianjin Nankai Hosp Dept Minimally Invas Surg 122 San Wei Rd Tianjin 300100 Peoples R China;

    Tianjin Nankai Hosp Dept Gastrointestinal Surg Tianjin Peoples R China;

    Tianjin Nankai Hosp Dept Minimally Invas Surg 122 San Wei Rd Tianjin 300100 Peoples R China;

    Tianjin Nankai Hosp Dept Minimally Invas Surg 122 San Wei Rd Tianjin 300100 Peoples R China;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 诊断学;
  • 关键词

    Choledochal cyst; Choledochoscope; Laparoscopy; Minimally invasive;

    机译：胆总管囊肿;胆道镜;腹腔镜;微创;

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号