Total Versus Conventional Laparoscopic Cyst Excision and Roux-en-Y Hepaticojejunostomy in Children with Choledochal Cysts: A Case-Control Study

Abstract Background: To compare the efficacy of total and conventional laparoscopic hepaticojejunostomy (TLH and CLH) in children with choledochal cysts (CDCs).Methods: Patients undergoing TLH and CLH between August 2017 and December 2018 were retrospectively analyzed. Intraoperative blood loss, time for jejunum-co-jejunum anastomosis, time to oral intake, postoperative hospital stay, hospitalization expenses, postoperative complications and perioperative laboratory values 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<0.01), the postoperative hospital stay was 5.50±0.28 d and 7.00±0.74 d (t=2.03, P<0.05), the hospitalization expenses were CNY 40085±2447 and CNY 26084±2776 (t=3.79, P<0.001). There were no significant differences in intraoperative blood loss (9.57±3.28ml vs 8.2±1.13 ml, t=0.37, P=0.72) and time for jejunum-co-jejunum anastomosis (80.5±2.46 min vs 75.00±2.04 min, t=1.68, P=0.10). The median follow-up periods of TLH and CLH group were 17 and 16 months respectively. Overall comlication rates were comparable between two groups (10% vs 8%, c²=0.07, P=0.79).Conclusions: TLH in children with CDCs has the advantages of rapid gastrointestinal functional recovery and short hospitalization. However, hospitalization is relatively expensive.

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Total versus conventional laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy in children with choledochal cysts: a case-control study

10.21203/rs.3.rs-35680/v2 ◽

2020 ◽

Author(s):

FEI LIU ◽

Xiaogang Xu ◽

Menglong Lan ◽

Boyuan Tao ◽

Le Li ◽

...

Keyword(s):

Blood Loss ◽

Hospital Stay ◽

Oral Intake ◽

Postoperative Hospital Stay ◽

Intraoperative Blood Loss ◽

Choledochal Cysts ◽

Conversion To Open Surgery ◽

Cyst Excision ◽

Conventional Laparoscopic

Abstract Background : To compare the efficacy of total and conventional laparoscopic hepaticojejunostomy (TLH and CLH) in children with choledochal cysts (CDCs). Methods: Patients undergoing TLH and CLH between August 2017 and December 2018 were retrospectively analyzed. Intraoperative blood loss, time for jejunum-co-jejunum anastomosis, time to oral intake, postoperative hospital stay, hospitalization expenses, 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 <0.01), the postoperative hospital stay was 5.50±0.28 d and 7.00±0.74 d ( t =2.03, P <0.05), the hospitalization expenses were CNY 40085±2447 and CNY 26084±2776 ( t =3.79, P <0.001). There were no significant differences in intraoperative blood loss (9.57±3.28ml vs 8.2±1.13 ml, t =0.37, P = 0.72) and time for jejunum-co-jejunum anastomosis (80.5±2.46 min vs 75.00±2.04 min, t =1.68, P =0.10). The median follow-up periods of TLH and CLH group were 17 and 16 months respectively. Overall comlication rates were comparable between two groups (10% vs 8%, c ² =0.07, P =0.79). Conclusions: TLH in children with CDCs has the advantages of rapid gastrointestinal functional recovery and short hospitalization. However, hospitalization is relatively expensive.

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Total versus conventional laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy in children with choledochal cysts: a case–control study

BMC Surgery ◽

10.1186/s12893-020-00906-5 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Fei Liu ◽

Xiaogang Xu ◽

Menglong Lan ◽

Boyuan Tao ◽

Le Li ◽

...

Keyword(s):

Blood Loss ◽

Hospital Stay ◽

Oral Intake ◽

Postoperative Hospital Stay ◽

Complication Rates ◽

Intraoperative Blood Loss ◽

Choledochal Cysts ◽

Conversion To Open Surgery ◽

Cyst Excision ◽

Conventional Laparoscopic

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 < 0.01), the postoperative hospital stay was 5.50 ± 0.28 d and 7.00 ± 0.74 d (t = 2.03, P < 0.05), and the hospitalization expenses were CNY 40,085 ± 2447 and CNY 26,084 ± 2776 (t = 3.79, P < 0.001). There were no significant differences in intraoperative blood loss (9.57 ± 3.28 ml vs 8.2 ± 1.13 ml, t = 0.37, P = 0.72) or time for jejunum-cojejunum anastomosis (80.5 ± 2.46 min vs 75.00 ± 2.04 min, t = 1.68, P = 0.10). The median follow-up periods of the TLH and CLH groups were 17 and 16 months, respectively. Overall complication rates were comparable between the two groups (10% vs 8%, χ2 = 0.07, P = 0.79). Conclusions TLH in children with CDCs has the advantages of rapid gastrointestinal functional recovery and a short hospitalization. However, hospitalization is relatively expensive.

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Total versus conventional laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy in children with choledochal cysts: a case-control study

10.21203/rs.3.rs-35680/v3 ◽

2020 ◽

Author(s):

FEI LIU ◽

Xiaogang Xu ◽

Menglong Lan ◽

Boyuan Tao ◽

Le Li ◽

...

Keyword(s):

Blood Loss ◽

Hospital Stay ◽

Oral Intake ◽

Postoperative Hospital Stay ◽

Complication Rates ◽

Intraoperative Blood Loss ◽

Choledochal Cysts ◽

Conversion To Open Surgery ◽

Cyst Excision ◽

Conventional Laparoscopic

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<0.01), the postoperative hospital stay was 5.50±0.28 d and 7.00±0.74 d (t=2.03, P<0.05), and the hospitalization expenses were CNY 40085±2447 and CNY 26084±2776 (t=3.79, P<0.001). There were no significant differences in intraoperative blood loss (9.57±3.28 ml vs 8.2±1.13 ml, t=0.37, P=0.72) or time for jejunum-cojejunum anastomosis (80.5±2.46 min vs 75.00±2.04 min, t=1.68, P=0.10). The median follow-up periods of the TLH and CLH groups were 17 and 16 months, respectively. Overall complication rates were comparable between the two groups (10% vs 8%, c²=0.07, P=0.79). Conclusions: TLH in children with CDCs has the advantages of rapid gastrointestinal functional recovery and a short hospitalization. However, hospitalization is relatively expensive. Keywords: Total laparoscopic; Choledochal cyst; Children; Congenital

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Total versus conventional laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy in children with choledochal cysts: a case-control study

10.21203/rs.3.rs-35680/v4 ◽

2020 ◽

Author(s):

FEI LIU ◽

Xiaogang Xu ◽

Menglong Lan ◽

Boyuan Tao ◽

Le Li ◽

...

Keyword(s):

Blood Loss ◽

Hospital Stay ◽

Oral Intake ◽

Postoperative Hospital Stay ◽

Complication Rates ◽

Intraoperative Blood Loss ◽

Choledochal Cysts ◽

Conversion To Open Surgery ◽

Cyst Excision ◽

Conventional Laparoscopic

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 <0.01), the postoperative hospital stay was 5.50±0.28 d and 7.00±0.74 d ( t =2.03, P <0.05), and the hospitalization expenses were CNY 40085±2447 and CNY 26084±2776 ( t =3.79, P <0.001). There were no significant differences in intraoperative blood loss (9.57±3.28 ml vs 8.2±1.13 ml, t =0.37, P = 0.72) or time for jejunum-cojejunum anastomosis (80.5±2.46 min vs 75.00±2.04 min, t =1.68, P =0.10). The median follow-up periods of the TLH and CLH groups were 17 and 16 months, respectively. Overall complication rates were comparable between the two groups (10% vs 8%, c ² =0.07, P =0.79). Conclusions: TLH in children with CDCs has the advantages of rapid gastrointestinal functional recovery and a short hospitalization. However, hospitalization is relatively expensive.

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Laparoscopy assisted minilaparotomy in the present uterine surgery

Journal of obstetrics and women s diseases ◽

10.17816/jowd87395 ◽

1998 ◽

Vol 47 (3-4) ◽

pp. 22-25

Author(s):

G. A. Savitskiy ◽

N. N. Volkov ◽

R. D. Ivanova ◽

S. M. Gorbushin

Keyword(s):

Blood Loss ◽

Hospital Stay ◽

New Technology ◽

Postoperative Hospital Stay ◽

Intraoperative Blood Loss ◽

Coagulative Necrosis ◽

Operative Method ◽

Uterine Surgery

It has been created the new technology of uterine surgery based on laparoscopy assisted suprapubical middle minilaparotomy. This operative method allows to minimize the surgical injure in the cases when laparoscopy itself may be difficult because of some reasons and typical laparotomy is undesirable. The first experience of these operations has shown that using of this technology does allow to decrease intraoperative blood loss considerably, reduce very much postoperative hospital stay of patients in comparison with laparotomy, minimize the necessity of analgetics, optimize the suture of the uterus in myomectomy and diminish the zone of coagulative necrosis of tissues.

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Comparison of Perioperative Outcomes in Open and Laparoscopic Radical Cystectomy with Modified Ureterosigmoidostomy (MainzII): A Retrospective Analysis

10.21203/rs.3.rs-805660/v1 ◽

2021 ◽

Author(s):

Bin Zhang ◽

Yang He ◽

Duo Zheng ◽

Junyao Liu ◽

Peng Qi ◽

...

Keyword(s):

Blood Loss ◽

Hospital Stay ◽

Radical Cystectomy ◽

Urinary Diversion ◽

Open Surgery ◽

Operation Time ◽

Laparoscopic Group ◽

Postoperative Hospital Stay ◽

Intraoperative Blood Loss

Abstract Background: To analyze perioperative conditions and long-term efficacy of open modified ureterosigmoidostomy urinary diversion (OMUUD) in patients with bladder cancer who underwent open radical cystectomy (ORC) and laparoscopic radical cystectomy (LRC).Methods: In this retrospective study, the clinical data of patients who underwent open and laparoscopic radical cystectomy plus open modified ureterosigmoidostomy urinary diversion in our hospital were collected from January 2011 to December 2019. In addition, perioperative data of 56 patients who underwent ORC and OMUUD were compared with those of 118 patients who underwent laparoscopic radical cystectomy (LRC) plus OMUUD. A long-term follow-up was performed to compare the overall survival (OS) and progression-free survival (PFS) rate between the two groups.Results: Results showed that there was no significant difference between ORC+OMUUD group and LRC+OMUUD group in terms of gender, age, body index, pre-operative ASA grade, history of transurethral resection of bladder tumor (TURBT) before surgery, tumor T stage, lymph node dissection range, pathological grade, and positive postoperative surgical margin. The mean operation time in the open group was shorter than that in the laparoscopic group （P<0.001）. Moreover, the estimated intraoperative blood loss（P<0.001）and postoperative hospital stay（P=0.023）were better in the laparoscopic group than in the open group. The incidence of complications between 30 days (P=0.665) and 90 days (P=0.211) time-points after surgery was not significantly different. Similarly, the OS (P=0.237) and PFS (P=0.307) between the two groups were comparable.Conclusion: This study shows that the LRC group has long operation time, but less estimated intraoperative blood loss, short postoperative hospital stay, small trauma, and fast postoperative recovery compared to open surgery. Moreover, the incidence of complications at 30 - and 90-days postoperation, as well as the OS and PFS is not different between laparoscopy and open surgery.

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LARAPOSCOPIC LIVER RESECTION IN SURGERY FOR COLORECTAL CANCER METASTASES

Koloproktologia ◽

10.33878/2073-7556-2019-18-1-58-65 ◽

2019 ◽

Vol 18 (1) ◽

pp. 58-65

Author(s):

N. R. Torchua ◽

A. A. Ponomarenko ◽

E. G. Rybakov ◽

S. I. Achkasov

Keyword(s):

Colorectal Cancer ◽

Liver Resection ◽

Blood Loss ◽

Hospital Stay ◽

Laparoscopic Liver Resection ◽

Colorectal Liver Metastases ◽

Postoperative Hospital Stay ◽

Open Approach ◽

Intraoperative Blood Loss ◽

Liver Resections

BACKGROUND: nowadays laparoscopic liver resection (LapLR) in contrast to traditional open approach is more preferable because of reduction of intraoperative blood loss and postop morbidity, decrease of postop hospital stay. Unfortunately, the place of LapLR in surgery for colorectal liver metastases is still controversial because of small number of comparative studies. PATIENTS AND METHODS: between November 2017 and December 2018 fifty two patients with resectable colorectal liver metastases were included in our pilot study - 35 in the prospective group for laparoscopic liver resection and 17 patients in retrospective group of open-approach liver resections (selected group of historical control) (OLR). RESULTS: one patient was excluded from LapLR group because of absence of intraoperative evidence for metastatic disease (in spite of preop MRI). Two patients had lap-to-open conversion (in one case because of technical difficulties due to the location of the permanent ileostomy in the right mesogastric region; in the other case due to intraoperative bleeding). These patients were included into open group. Atypical liver resections were the most often procedures in both groups - 79% (23/32) and 76% (13/19), p=0.3 (LapLR and OLR, respectively). Duration of the procedure was shorter in the OLR group: 218+71 min vs. 237+101min in LapLR, p=0.6. The mediana for blood loss in LapLR was 100 ml (quartile 100; 200) vs. 320 ml (quartile 200;600) in OLR, p=0.0001. The rate of R0 resections was comparable in both groups (p=1.0). The patients of OLR group more often had >1 complication (16 vs. 13, p=0.01) and had higher frequency of bile fistulas, abscesses in the liver resection area and clostridial colitis. Postoperative hospital stay was shorter in the LapLR group: 11+3 vs. 14+5 days, p=0.008. CONCLUSION: laparoscopic liver resections for metastases of colorectal cancer were associated with less intraoperative blood loss, morbidity, and shorter postoperative hospital stay, with comparable rate of R0 resections.

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Comparison of Therapeutic Effects of Laparoscopic and Open Operation for Congenital Choledochal Cysts in Adults

Gastroenterology Research and Practice ◽

10.1155/2014/670260 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8 ◽

Cited By ~ 8

Author(s):

Yuan Liu ◽

Xu Yao ◽

Shuqiang Li ◽

Wenhan Liu ◽

Lei Liu ◽

...

Keyword(s):

Blood Loss ◽

Operative Time ◽

Laparoscopic Group ◽

Adult Patients ◽

Open Group ◽

Therapeutic Effects ◽

Intraoperative Blood Loss ◽

Choledochal Cysts ◽

Cyst Excision ◽

Postoperative Stay

Background. Laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy for treating congenital choledochal cysts (CCCs) have proved to be efficacious in children. Its safety and efficacy in adult patients remain unknown. The purpose of this study was to determine whether the laparoscopic procedure was feasible and safe in adult patients.Methods. We reviewed 35 patients who underwent laparoscopic operation (laparoscopic group) and 39 patients who underwent an open procedure (open group). The operative time, intraoperative blood loss, time until bowel motion recovery, duration of drainage, postoperative stay, time until resumption of diet, postoperative complications, and perioperative laboratory values were recorded and analyzed in both groups.Results. The operative time was longer in the laparoscopic group and decreased significantly with accumulating surgical experience (P<0.01). The mean intraoperative blood loss was significantly lower in the laparoscopic group (P<0.01). The time until bowel peristalsis recovery, time until resumption of diet, abdominal drainage, and postoperative stay were significantly shorter in the laparoscopic group (P<0.01). The postoperative complication rate was not higher in the laparoscopic group than in the open group (P>0.05).Conclusions. Laparoscopic cyst excision and hepaticojejunostomy are a feasible, effective, and safe method for treating CCCs in adult patients.

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Safety and feasibility of laparoendoscopic single-site surgery in the management of giant ovarian cysts

10.21203/rs.3.rs-895668/v1 ◽

2021 ◽

Author(s):

Shuzhen Chang ◽

Wei Zhang ◽

Linyv Peng ◽

Haiyan Zhou ◽

HAN Li-ping

Keyword(s):

Blood Loss ◽

Hospital Stay ◽

Perioperative Complications ◽

Operation Time ◽

Postoperative Hospital Stay ◽

Ovarian Cysts ◽

Intraoperative Blood Loss ◽

Analgesic Drugs ◽

Laparoendoscopic Single Site Surgery ◽

Single Site Surgery

Abstract Objective To investigate the safety and feasibility of laparoendoscopic single-site surgery (LESS) in the treatment of giant ovarian cysts. Methods A total of 76 patients with giant ovarian cyst (diameter ≥ 10 cm) who received surgical treatment in our hospital from January 2018 to May 2021 were divided into experimental cohort (single-port laparoscopic cohort) (n = 30) and control cohort (traditional laparoscopic cohort) (n = 46).The operation time, intraoperative blood loss, intraoperative cyst fluid spillage rate, application of postoperative analgesic drugs, postoperative first anus exhaust time, incidence rate of perioperative complications, length of postoperative hospital stay and other clinical indicators were summarized and analyzed between the two cohorts. Results The LESS cohorts had an earlier onset of age[ (27.6 ± 8.4) ,years of age], shorter of operation time [(82.2 ± 16.0)min], less of intraoperative blood loss [( 17.5 (10-22.5) ml)] as compared with traditional laparoscopic cohort[ (40.9 ± 15.5 )years of age, (102.7 ± 26.2)min, (20 (18.7–35) )m,P ༜ 0.05]. The first postoperative exhaust time,the rate of postoperative analgesic drugs, incidence rate of perioperative complications and postoperative hospital stay in two cohorts were in the similar line. Conclusion After adequate evaluation and screening of patients, the size of ovarian cysts cannot be the reason for refusing LESS surgery. It is safe and feasible for clinical promotion in the management of giant ovarian cysts.

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Effectiveness of laparoscopic surgery in patients with large gastric GIST (diameter > 5cm).

Journal of Clinical Oncology ◽

10.1200/jco.2019.37.4_suppl.35 ◽

2019 ◽

Vol 37 (4_suppl) ◽

pp. 35-35

Author(s):

Fei Li ◽

Chongchong Gao

Keyword(s):

Laparoscopic Surgery ◽

Blood Loss ◽

Hospital Stay ◽

Operating Time ◽

Postoperative Hospital Stay ◽

Gastric Gist ◽

Tumor Rupture ◽

Stromal Tumors ◽

Estimated Blood Loss

35 Background: Recently, the application of laparoscopic or DaVinci surgery in relatively small gastrointestinal stromal tumors (GIST) has been increasingly recognized. However, the use in large stromal tumors, especially with a diameter greater than 5 cm, remains controversial for fear of tumor rupture. The aim of our study is to observe the effectiveness of laparoscopic approach in treatment of large gastric GIST. Methods: Patients who were diagnosed with gastric GIST (diameter > 5cm) at Xuanwu Hospital, China and underwent laparoscopic surgery from May 2011 to May 2018 were assessed. We set intraoperative tumor rupture as primary outcome. Secondly outcomes were conversion rate, operating time, estimated blood loss, length of postoperative hospital stay and recurrence rate at the end of the follow-up. Results: Fourty patients were included in our study with tumor size (7.54 ty-tw) cm (range, 5.0~13.8 cm). There was no intraoperative tumor rupture occurred. The median duration of operation was (76.3±29.9) minutes with estimated blood loss (28.7±15.2) mL. The median time for length of postoperative hospital stay was (5.8±4.1) days. The follow-up period for all the patients was 23.1 months (range, 2.4~51months). No local or distant recurrence was observed. Conclusions: Laparoscopic resection for large gastric GIST is feasible and effective. Laparoscopic surgery can substitute for open surgery as standard approach for gastric stromal tumors.

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