지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.85 No.5
- 발행연도
- 2013.11
- 수록면
- 225 - 229 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Laparoscopic choledochal cyst excision with Roux-en-Y hepati cojejunostomy (LCE) in children is being attempted more frequently around the world, and although it has been performed in Korea, no publication has been published on it. However, cholangitis and/or pancreatitis are limitations that make open conversion more likely. The aims of this study, through a retrospective clinical analysis, were to prove the efficacy of LCE in children and to validate that preoperative management expands its indications.
Methods: From May 2011 to November 2012, 13 pediatric LCEs were performed. Demo graphics, preoperative findings, management, operative and postoperative outcomes were reviewed.
Results: The mean age at operation was 48.5 months and mean bodyweight 19.0 kg. Ultrasonography was conducted in all patients followed by either magnetic resonance cholangiopancreatography (8 cases) or computed tomography (5 cases). The mean diameter of the cysts was 30.2 mm. Eight patients with cholangitis and/or pancreatitis were given antibiotics preoperatively. Four had their condition resolved by administration of antibiotics, 3 underwent additional endoscopic retrograde biliary drainage or percutaneous transhepatic biliary drainage, and one, due to aggravating tenderness, underwent surgery after 4 days of administrating antibiotics without improvement of the inflammation. Two faced open conversions, one because of a very narrow bile duct, and the other because of remnant inflammation after inadequate preoperative management already mentioned above. Patients were discharged on the eighth postoperative day. There were no complications.
Conclusion: Pediatric LCE is a feasible option for choledochal cyst. Proper preoperative management such as antibiotics and drainage procedures enhances its efficacy by broadening its indications, even with concomitant cholangitis and/or pancreatitis.
Methods: From May 2011 to November 2012, 13 pediatric LCEs were performed. Demo graphics, preoperative findings, management, operative and postoperative outcomes were reviewed.
Results: The mean age at operation was 48.5 months and mean bodyweight 19.0 kg. Ultrasonography was conducted in all patients followed by either magnetic resonance cholangiopancreatography (8 cases) or computed tomography (5 cases). The mean diameter of the cysts was 30.2 mm. Eight patients with cholangitis and/or pancreatitis were given antibiotics preoperatively. Four had their condition resolved by administration of antibiotics, 3 underwent additional endoscopic retrograde biliary drainage or percutaneous transhepatic biliary drainage, and one, due to aggravating tenderness, underwent surgery after 4 days of administrating antibiotics without improvement of the inflammation. Two faced open conversions, one because of a very narrow bile duct, and the other because of remnant inflammation after inadequate preoperative management already mentioned above. Patients were discharged on the eighth postoperative day. There were no complications.
Conclusion: Pediatric LCE is a feasible option for choledochal cyst. Proper preoperative management such as antibiotics and drainage procedures enhances its efficacy by broadening its indications, even with concomitant cholangitis and/or pancreatitis.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - Vater A EC / 1723 / Dissertatio de Scirrhis viscerum occasione sectionis viri tympanite defunte / Wittenburgae 881 : 22 ~
2. [학술지(정기간행물)] - Todani T / 1977 / Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst / Am J Surg 134 : 263 ~ 269
3. [학술지(정기간행물)] - Lipsett PA / 2003 / Surgical treatment of choledochal cysts / J Hepatobiliary Pancreat Surg 10 : 352 ~ 359
4. [학술지(정기간행물)] - Liu CL / 2002 / Choledochal cysts in adults / Arch Surg 137 : 465 ~ 468
5. [학술지(정기간행물)] - Stain SC / 1995 / Choledochal cyst in the adult / Ann Surg 222 : 128 ~ 133
2. [학술지(정기간행물)] - Todani T / 1977 / Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst / Am J Surg 134 : 263 ~ 269
3. [학술지(정기간행물)] - Lipsett PA / 2003 / Surgical treatment of choledochal cysts / J Hepatobiliary Pancreat Surg 10 : 352 ~ 359
4. [학술지(정기간행물)] - Liu CL / 2002 / Choledochal cysts in adults / Arch Surg 137 : 465 ~ 468
5. [학술지(정기간행물)] - Stain SC / 1995 / Choledochal cyst in the adult / Ann Surg 222 : 128 ~ 133
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