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Short-Term Complications After Laparoscopic Choledochal Cyst Radical Surgery: Prevention and Treatment

机译:腹腔镜胆总管囊肿自由基手术短期并发症:预防和治疗

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Background: Shenzhen Children’s Hospital is one of the first hospitals in mainland China to conduct the laparoscopic choledochal cyst radical surgery. We aimed to analyze the short-term complications of treating choledochal cyst with laparoscopic surgery and to provide recommendations to reduce complications. Methods: A retrospective study was carried out from May 2010 to December 2017. The treatment process (preoperative preparation, surgical procedures, and treatment of the short-term complications), age at surgery, the length of surgery, and the length of stay were reviewed and analyzed. Results: A total of 325 cases were included in this study. 4 cases (1.2%) were converted to laparotomy. 23 cases (7.1%) exhibited the short-term complications, including bile leakage occurred in 9 cases (2.8%), chylous ascites in 1 case (0.3%), pancreatic fistula in 2 cases (0.6%), intestinal necrosis in 1 case (0.3%), hemorrhage in 4 cases (1.2%), internal hernia in 2 cases (0.6%), and stoma necrosis in 4 cases (1.2%). Among patients younger than 3 months old, 2 cases (10.5%, P<0.05) were converted to laparotomy, and 4 cases (21.1%, P<0.05) exhibited complications. These patients also had a longer operative time (204.9±10.8 min, P<0.05) and hospital stay (12.2±0.7 d, P<0.001). Conclusion: In our study, the incidence of short-term complication after laparoscopic choledochal cyst radical surgery was relatively low. This procedure is a quite safe and effective for most patients, even for young children. However, patients younger than 3 months old may require extra attention during the treatment.
机译:背景:深圳儿童医院是中国大陆的第一家医院之一,开展腹腔镜胆总管囊肿自由基手术。我们旨在分析腹腔镜手术治疗Choledochal囊肿的短期并发症,并为减少并发症提供建议。方法:从2010年5月到2017年5月进行了回顾性研究。治疗过程(术前制剂,手术手术和治疗短期并发症),手术年龄,手术长度和逗留时间审查和分析。结果:本研究共纳入325例。将4例(1.2%)转化为剖腹术。 23例(7.1%)表现出短期并发症,包括9例(2.8%)发生的胆汁渗漏,1例(0.3%),胰腺瘘2例(0.6%),肠道坏死1例(0.3%),出血4例(1.2%),内部疝气2例(0.6%),和造口坏死4例(1.2%)。在超过3个月龄的患者中,2例(10.5%,P <0.05)转化为剖腹产,4例(21.1%,P <0.05)表现出并发症。这些患者的手术时间较长(204.9±10.8分钟,P <0.05)和住院住宿(12.2±0.7d,p <0.001)。结论:在我们的研究中,腹腔镜胆总管囊肿自由基手术后短期并发症发生率相对较低。对于大多数患者来说,这种程序即使是幼儿也是相当安全有效的。然而,在3个月龄较小的患者可能需要在治疗过程中额外注意。

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