Laparoscopic versus open surgery in children with choledochal cysts: a meta-analysis
详细信息    查看全文
  • 作者:Huo-Jian Shen ; Ming Xu ; Hong-Yi Zhu ; Chao Yang ; Fu Li…
  • 关键词:Laparoscopy ; Hepaticojejunostomy ; Choledochal cysts ; Children ; Meta ; analysis
  • 刊名:Pediatric Surgery International
  • 出版年:2015
  • 出版时间:June 2015
  • 年:2015
  • 卷:31
  • 期:6
  • 页码:529-534
  • 全文大小:473 KB
  • 参考文献:1.Lipsett PA, Pitt HA (2003) Surgical treatment of choledochal cysts. J Hepatobiliary Pancreat Surg 10(5):352-59View Article PubMed
    2.Hung MH, Lin LH, Chen DF et al (2011) Choledochal cysts in infants and children: experiences over a 20-year period at a single institution. Eur J Pediatr 170(9):1179-185View Article PubMed
    3.Park SW, Koh H, Oh JT et al (2014) Relationship between anomalous pancreaticobiliary ductal union and pathologic inflammation of bile duct in choledochal cyst. Pediatr Gastroenterol Hepatol Nutr 17(3):170-77View Article PubMed Central PubMed
    4.Huang CS, Huang CC, Chen DF (2010) Choledochal cysts: differences between pediatric and adult patients. J Gastrointest Surg 14(7):1105-110View Article PubMed
    5.Shimotakahara A, Yamataka A, Yanai T et al (2005) Roux-en-Y hepaticojejunostomy or hepaticoduodenostomy for biliary reconstruction during the surgical treatment of choledochal cyst: which is better? Pediatr Surg Int 21(1):5-View Article PubMed
    6.Farello GA, Cerofolini A, Rebonato M et al (1995) Congenital choledochal cyst: video-guided laparoscopic treatment. Surg Laparosc Endosc 5(5):354-58PubMed
    7.Stang A (2010) Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of non randomized studies in meta-analyses. Eur J Epidemiol 25:603-05View Article PubMed
    8.JPT H, SG (2012) Cochrane handbook for systematic reviews of interventions, version 5.1.0. http://?www.?cochrane-handbookorg/-/span> . Accessed Mar 2011
    9.Aspelund G, Ling SC, Ng V et al (2007) A role for laparoscopic approach in the treatment of biliary atresia and choledochal cysts. J Pediatr Surg 42(5):869-72View Article PubMed
    10.She WH, Chung HY, Lan LC et al (2009) Management of choledochal cyst: 30?years of experience and results in a single center. J Pediatr Surg 44(12):2307-311View Article PubMed
    11.Liuming H, Hongwu Z, Gang L et al (2011) The effect of laparoscopic excision vs open excision in children with choledochal cyst: a midterm follow-up study. J Pediatr Surg 46(4):662-65View Article PubMed
    12.Liem NT, Pham HD, Vu HM (2011) Is the laparoscopic operation as safe as open operation for choledochal cyst in children? J Laparoendosc Adv Surg Tech A. 21(4):367-70View Article PubMed
    13.Cherqaoui A, Haddad M, Roman C et al (2012) Management of choledochal cyst: Evolution with antenatal diagnosis and laparoscopic approach. J Minim Access Surg 8(4):129-33View Article PubMed Central PubMed
    14.Ng JL, Salim MT, Low Y (2014) Mid-term outcomes of laparoscopic versus open choledochal cyst excision in a tertiary paediatric hospital. Ann Acad Med Singapore 43(4):220-24PubMed
    15.Diao M, Li L, Cheng W (2011) Laparoscopic versus Open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results. Surg Endosc 25(5):1567-573View Article PubMed
    16.Lee HK, Park SJ, Yi BH et al (2009) Imaging features of adult choledochal cysts: a pictorial review. Korean J Radiol 10(1):71-0View Article PubMed Central PubMed
    17.Sato M, Ishida H, Konno K et al (2001) Choledochal cyst due to anomalous pancreatobiliary junction in the adult: sonographic findings. Abdom Imaging 26(4):395-00View Article PubMed
    18.Singham J, Yoshida EM, Scudamore CH (2009) Choledochal cysts: part 1 of 3: classification and pathogenesis. Can J Surg 52(5):434-40PubMed Central PubMed
    19.Wiseman K, Buczkowski AK, Chung SW et al (2005) Epidemiology, presentation, diagnosis, and outcomes of choledochal cysts in adults in an urban environment. Am J Surg 189(5):527-31 discussion 31View Article PubMed
    20.Sastry AV, Abbadessa B, Wayne MG et al (2015) What is the incidence of biliary carcinoma in choledochal cysts, when do they develop, and how should it affect management? World J Surg 39(2):487-92View Article PubMed
    21.Liem NT, Pham HD, le Dung A et al (2012) Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A 22(6):599-03View Article PubMed
    22.Qiao G, Li L, Li S et al (2015) Laparoscopic cyst excision and Roux-Y hepaticojejunostomy for children with choledochal cysts in China: a multicenter study. Surg Endosc 29(1):140-44View Article PubMed
    23.Diao M, Li L, Cheng W (2013) Role of laparoscopy in treatment of choledochal cysts in children. Pediatr Surg Int 29(4):317-26View Article PubMed
  • 作者单位:Huo-Jian Shen (1)
    Ming Xu (1)
    Hong-Yi Zhu (1)
    Chao Yang (1)
    Fu Li (1)
    Ke-wei Li (1)
    Wei-Jin Shi (1)
    Fu Ji (1)

    1. Department of Biliary-Pancreatic Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 160 Pujian Road, Shanghai, 200127, China
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Pediatrics
    Surgery
    Pediatric Surgery
  • 出版者:Springer Berlin / Heidelberg
  • ISSN:1437-9813
文摘
Objective To compare the safety and efficacy between laparoscopic and open cyst excision with hepaticojejunostomy for children with choledochal cysts using meta-analysis. Methods Studies comparing the laparoscopic and the open choledochal cyst excision that met the inclusion criteria for data extraction were identified from electronic databases (PubMed, Embase, Science Citation Index, and the Cochrane Library) up to November 2014. The proceedings of relevant congress were also searched. The outcomes were operative time, intraoperative blood loss, time to food intake, postoperative morbidity and mortality, length of hospital stay. Outcomes were calculated as odds ratios (ORs) with 95?% confidence intervals (CIs) using RevMan 5.2. Results Seven retrospective studies were finally included, involving a total of 1016 patients, of whom, 408 cases underwent laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy (LH) and 608 cases underwent open cyst excision and Roux-en-Y hepaticojejunostomy (OH). In LH group compared with OH group, the operative time was longer (MD?=?59.11, 95?% CI 27.61-0.61, P?=?0.0002), while the length of postoperative hospital stay was less (MD?=??.01, 95?% CI ?.49 to ?.54, P?<?0.00001), the intraoperative blood loss was lower (MD?=??7.14, 95?% CI ?6.69 to ?.60, P?=?0.01) and time to food intake was less (MD?=??.14, 95?% CI ?.61 to ?.67, P?=?0.01). The rate of postoperative morbidity was more in the OH group, but there is no statistically significant difference between the two groups in postoperative morbidity (OR?=?0.52, 95?% CI 0.13-.06, P?=?0.35). Conclusion Laparoscopic surgery is a feasible, safe treatment of choledochal cyst with less postoperative morbidity, a shorter length of stay and a lower blood loss when compared with open approach. With the improvement of laparoscopic techniques and deftness of surgeons practice, laparoscopic surgery may become the first choice procedure for choledochal cyst.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700