Total versus conventional laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy in children with choledochal cyst
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RESEARCH ARTICLE
Open Access
Total versus conventional laparoscopic cyst excision and Roux‑en‑Y hepaticojejunostomy in children with choledochal cysts: a case– control study Fei Liu, Xiaogang Xu, Menglong Lan, Boyuan Tao, Le Li, Qiang Wu, Chengwei Chai and Jixiao Zeng*
Abstract Background: To compare the efficacy of total and conventional laparoscopic hepaticojejunostomy (TLH and CLH) in children with choledochal cysts (CDCs). Methods: Data from patients undergoing TLH and CLH between August 2017 and December 2018 were retrospectively analyzed. Intraoperative blood loss, time for jejunum-cojejunum anastomosis, time to oral intake, postoperative hospital stay, hospitalization expenses, and postoperative complications were compared. Results: All 55 patients (TLH = 30, CLH = 25) were successfully treated without conversion to open surgery. In the TLH and CLH groups, the time to oral intake was 3.57 ± 0.19 d and 4.56 ± 0.27 d, respectively (t = 3.07, P
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