Liem Nguyen T, Pham Hien D, Vu Hoan M
Department of Surgery, National Hospital of Pediatrics, Hanoi, Vietnam.
J Laparoendosc Adv Surg Tech A. 2011 May;21(4):367-70. doi: 10.1089/lap.2010.0375. Epub 2011 Mar 28.
The aim of this study was to compare the safety of laparoscopic operation with open surgery for choledochal cyst in children.
Early outcomes of open surgery from January 2001 to December 2006 were compared with early outcomes of laparoscopic operations from January 2007 to July 2010. The main outcome variables included intra- and early postoperative complications, operative time, rate of reintervention, and duration of postoperative stay.
There were 307 patients in the open operation group and 309 patients in the laparoscopic operation group. There was no significant difference in cyst diameter between the 2 groups. The operative time was longer in the laparoscopic operation group. The number of patients requiring blood transfusion was lower in the laparoscopic operation group. Intraoperative complications were low in both groups and not significantly different. The rate of postoperative complications was lower in the laparoscopic operation group but not significantly. The rate of reintervention was significantly lower in the laparoscopic operation group. The postoperative stay was significantly shorter in the laparoscopic operation group.
Laparoscopic operation is as safe as open operation for choledochal cyst. The postoperative stay was significantly shorter in the laparoscopic operation group.
本研究旨在比较儿童胆总管囊肿腹腔镜手术与开放手术的安全性。
将2001年1月至2006年12月开放手术的早期结果与2007年1月至2010年7月腹腔镜手术的早期结果进行比较。主要结局变量包括术中及术后早期并发症、手术时间、再次干预率和术后住院时间。
开放手术组有307例患者，腹腔镜手术组有309例患者。两组囊肿直径无显著差异。腹腔镜手术组手术时间较长。腹腔镜手术组需要输血的患者数量较少。两组术中并发症发生率均较低，且无显著差异。腹腔镜手术组术后并发症发生率较低，但无显著差异。腹腔镜手术组再次干预率显著较低。腹腔镜手术组术后住院时间显著较短。
对于胆总管囊肿，腹腔镜手术与开放手术一样安全。腹腔镜手术组术后住院时间显著较短。
