Laparoscopic-assisted clearance of protein plugs in the common channel in children with choledochal cysts

Mei Diao, Long Li, Jin-Shan Zhang, Wei Cheng

Research output: Contribution to journalArticleResearchpeer-review

10 Citations (Scopus)

Abstract

BACKGROUND: The purpose of the study was to assess the efficacy of laparoscopic-assisted removal of protein plugs from the common channel in choledochal cysts. METHODS: Between 2001 and 2009, 34 patients with choledochal cysts (mean age, 4.98 years) with protein plugs in the common channel successfully underwent laparoscopic cyst excision and Roux-en-Y hepatojejunostomy. Under direct vision during laparoscopy, urethroscopes or catheters were inserted into the common channel to irrigate and remove the protein plugs. Complete clearance was confirmed by either direct urethroscopic visualization or cholangiogram that demonstrated (1) no filling defects in the common channel, (2) significant reduction of common channel diameter, (3) free passage of contrast agent into the duodenum, and (4) no pancreatic duct reflux. Operative time and blood loss, postoperative hospital stay, duration of drainage, postoperative complications, perioperative ultrasonographic findings, and laboratory results were reviewed.
Original languageEnglish
Pages (from-to)2099 - 2102
Number of pages4
JournalJournal of Pediatric Surgery
Volume45
Issue number10
DOIs
Publication statusPublished - 2010

Cite this

Diao, Mei ; Li, Long ; Zhang, Jin-Shan ; Cheng, Wei. / Laparoscopic-assisted clearance of protein plugs in the common channel in children with choledochal cysts. In: Journal of Pediatric Surgery. 2010 ; Vol. 45, No. 10. pp. 2099 - 2102.
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abstract = "BACKGROUND: The purpose of the study was to assess the efficacy of laparoscopic-assisted removal of protein plugs from the common channel in choledochal cysts. METHODS: Between 2001 and 2009, 34 patients with choledochal cysts (mean age, 4.98 years) with protein plugs in the common channel successfully underwent laparoscopic cyst excision and Roux-en-Y hepatojejunostomy. Under direct vision during laparoscopy, urethroscopes or catheters were inserted into the common channel to irrigate and remove the protein plugs. Complete clearance was confirmed by either direct urethroscopic visualization or cholangiogram that demonstrated (1) no filling defects in the common channel, (2) significant reduction of common channel diameter, (3) free passage of contrast agent into the duodenum, and (4) no pancreatic duct reflux. Operative time and blood loss, postoperative hospital stay, duration of drainage, postoperative complications, perioperative ultrasonographic findings, and laboratory results were reviewed.",
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Laparoscopic-assisted clearance of protein plugs in the common channel in children with choledochal cysts. / Diao, Mei; Li, Long; Zhang, Jin-Shan; Cheng, Wei.

In: Journal of Pediatric Surgery, Vol. 45, No. 10, 2010, p. 2099 - 2102.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Laparoscopic-assisted clearance of protein plugs in the common channel in children with choledochal cysts

AU - Diao, Mei

AU - Li, Long

AU - Zhang, Jin-Shan

AU - Cheng, Wei

PY - 2010

Y1 - 2010

N2 - BACKGROUND: The purpose of the study was to assess the efficacy of laparoscopic-assisted removal of protein plugs from the common channel in choledochal cysts. METHODS: Between 2001 and 2009, 34 patients with choledochal cysts (mean age, 4.98 years) with protein plugs in the common channel successfully underwent laparoscopic cyst excision and Roux-en-Y hepatojejunostomy. Under direct vision during laparoscopy, urethroscopes or catheters were inserted into the common channel to irrigate and remove the protein plugs. Complete clearance was confirmed by either direct urethroscopic visualization or cholangiogram that demonstrated (1) no filling defects in the common channel, (2) significant reduction of common channel diameter, (3) free passage of contrast agent into the duodenum, and (4) no pancreatic duct reflux. Operative time and blood loss, postoperative hospital stay, duration of drainage, postoperative complications, perioperative ultrasonographic findings, and laboratory results were reviewed.

AB - BACKGROUND: The purpose of the study was to assess the efficacy of laparoscopic-assisted removal of protein plugs from the common channel in choledochal cysts. METHODS: Between 2001 and 2009, 34 patients with choledochal cysts (mean age, 4.98 years) with protein plugs in the common channel successfully underwent laparoscopic cyst excision and Roux-en-Y hepatojejunostomy. Under direct vision during laparoscopy, urethroscopes or catheters were inserted into the common channel to irrigate and remove the protein plugs. Complete clearance was confirmed by either direct urethroscopic visualization or cholangiogram that demonstrated (1) no filling defects in the common channel, (2) significant reduction of common channel diameter, (3) free passage of contrast agent into the duodenum, and (4) no pancreatic duct reflux. Operative time and blood loss, postoperative hospital stay, duration of drainage, postoperative complications, perioperative ultrasonographic findings, and laboratory results were reviewed.

UR - http://www.ncbi.nlm.nih.gov/pubmed/20920739

U2 - 10.1016/j.jpedsurg.2010.06.011

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SN - 0022-3468

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ER -