Volume 20 No 20 (2022)
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PROSPECTIVE COHORT STUDY OF CHOLEDOCHIAL CYST REMOVAL AND ROUXEN-Y HEPATICOJEJUNOSTOMY FOR CHILDREN
S. Divya.and S. Ram Kumar
Abstract
Roux-en-Y hepaticojejunostomies and laparoscopic cyst excision are becoming more common in children with choledochal cysts. It plans to determine the feasibility and safety of laparoscopic excisions with Roux-en-Y hepaticojejunostomies for children with choledochal cysts, as well as evaluate their short-term outcomes after treatment. This prospective study involves 50 consecutive pediatric patients who underwent laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy. The operative time (Mean) was 225.8±68.94minutes, an intraoperative cholangiogram time is also included. Blood transfusions were needed for two children. Time to first flatus was 42.34±25.52 hours inaverage. Drains were removed on average in 2.75±1.07days. During the postoperative period, the average hospital stay was 9.45±3.24 days. One case of pancreatitis and bile leakage cases-five are among the 6/50 cases with early complications. Among the cases that underwent follow-up between 10 days and 3 months, the majority (90.5%) were considered to be in good health. Children can have laparoscopic choledochal cyst excisions and Roux-en-Y hepatico jejunostomy without complications. Most patients had good short-term outcomes.
Keywords
Children, Roux-en-Yhepatico jejunostomy Laparoscopic excision, Choledochal cyst
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