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Abstract
Purposes: To explore the clinical and paraclinical characteristics of choledochal cyst, and evaluates the surgical outcomes of laparoscopic choledochal cyst resection and Roux-en-Y Hepaticojejunostomy.
Methods: A prospective descriptive study was conducted on 105 patients who were diagnosed with choledochal cysts and underwent laparoscopic cystectomy resection and Roux-en-Y jejunojejunal anastomosis at Hue Central Hospital from January 2016 to December 2021.
Results: The mean age was 9.4 years old. Females accounted for 81%. There were 99 cases of type I and 6 cases of type IVA according to Todani classification. 74.3% of patients were admitted to the hospital because of right upper quadrant pain. The mean operative time was 174.43 minutes. The mean resection time was 41.36 minutes. The mean time was 43.67 minutes for a Roux-en-Y Hepaticojejunostomy and 35.56 minutes for jejuno - jejunal anastomosis. 66.7% of patients had a bowel movement after 24 - 48 hours. The mean postoperative stay was 6.5 days. The accident rate was 1.9%. The complication rate was 2.9%. Surgical result was classified as very good in 85.7%, good in 9.5% and average in 4.7%.
Conclusions: Laparoscopic surgery for cholodocal cyst is a feasible, effective and safe, ensuring functional and aesthetic results for patients.
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| Published | 29-12-2024 | |
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| Issue | No. 80 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.80.11 | |
| Keywords | Phẫu thuật nội soi, nang ống mật chủ, nối mật ruột Roux-en-Y Laparoscopy, choledochal cyst, Roux-en-Y hepaticojejunostomy |
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