Abstract:
Objective To compare and analyze the safety and efficacy of total laparoscopy and traditional laparoscopy in the treatment of choledochal cysts in infants.
Methods The clinical data of 46 cases with traditional laparoscopic choledochal cyst radical resection and 62 cases with total laparoscopic choledochal cyst radical resection from Jun. 2012 to Dec. 2020 were retrospectively analyzed, and the operation time, blood loss, feeding recovery time, postoperative 1 month TB, DB, ALT and AST, postoperative hospital stay, incidence of bile leakage and long-term intestinal obstruction were compared between the two groups.
Results There was no statistically significant difference(P>0.05). in operation time [185.5 (175.0, 200.0) vs. 194.5 (184.8, 210.0) min], postoperative 1 month TB, DB, ALT and AST, bile leakage (3.2% vs. 2.2%), and long-term intestinal obstruction (0 vs. 4.3%) between the total laparoscopic group (62 cases) and the traditional laparoscopic group (46 cases) .Total laparoscopic group had significantly shorter postoperative blood loss [5 (4.5, 10) vs.10 (5, 10)ml], time to oral intake [6.0 (5.4, 7.0) vs. 6.5 (6.0, 7.0) d] and postoperative hospital stay [10 (9.8, 11.3) vs. 11 (11, 12) d]. Statistically significant difference (P<0.05).
Conclusion Total laparoscopic choledochal cyst radical resection is safe and feasible, with less trauma, faster postoperative recovery, no increase in the incidence of perioperative and long-term complications, and can be clinically promoted.
Key words:
Total laparoscopy,
Traditional laparoscopy,
Congenital choledochal cyst,
Infant
Yong Feng, Renpeng Xia, Chanjuan Zou, Guang Xu, Bixiang Li, Bo Li, Chonggao Zhou. A comparative study of total laparoscopic and traditional laparoscopic surgery for choledochal cyst in infants[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2024, 17(02): 90-94.