American journal of surgery · 2004
Laparoscopic biliary reconstruction.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
O'Rourke Robert W, Lee Nicole N, Cheng Jun, Swanstrom Lee L, Hansen Paul D
Аннотация
BACKGROUND: Biliary reconstruction represents a relatively untested frontier in laparoscopy.
METHODS: Retrospective review of all patients who underwent laparoscopic biliary operations at Legacy Health System from 1998 to 2003.
RESULTS: Seven patients underwent laparoscopic biliary reconstruction. Indications included benign calculous disease in 4 patients, benign stricture on 1 patient, choledochal cyst in 1 patient, and malignant biliary obstruction in 1 patient. Operations performed included choledochoduodenostomy, hepaticojejunostomy, stricturoplasty, choledochal cyst excision with hepaticojejunostomy, and cholecystojejunostomy. Median operative time was 300 minutes. Median hospital stay was 4 days. One perioperative complication of a bowel obstruction required reoperation. Median follow-up was 15 months. One patient died of metastatic cancer 8 months after surgery. All other patients are symptom free with no signs of stricture or recurrent biliary obstruction.
CONCLUSIONS: Laparoscopic biliary reconstruction represents a viable treatment option in carefully selected patients.
METHODS: Retrospective review of all patients who underwent laparoscopic biliary operations at Legacy Health System from 1998 to 2003.
RESULTS: Seven patients underwent laparoscopic biliary reconstruction. Indications included benign calculous disease in 4 patients, benign stricture on 1 patient, choledochal cyst in 1 patient, and malignant biliary obstruction in 1 patient. Operations performed included choledochoduodenostomy, hepaticojejunostomy, stricturoplasty, choledochal cyst excision with hepaticojejunostomy, and cholecystojejunostomy. Median operative time was 300 minutes. Median hospital stay was 4 days. One perioperative complication of a bowel obstruction required reoperation. Median follow-up was 15 months. One patient died of metastatic cancer 8 months after surgery. All other patients are symptom free with no signs of stricture or recurrent biliary obstruction.
CONCLUSIONS: Laparoscopic biliary reconstruction represents a viable treatment option in carefully selected patients.
Предметные рубрики MeSH
AdultAgedAged, 80 and overAnastomosis, Roux-en-YBiliary Tract Surgical ProceduresCholedochal CystCholedocholithiasisCholedochostomyCholestasisClinical CompetenceFeasibility StudiesFemaleHumansIntestinal ObstructionJejunumLaparoscopyLiverMaleMiddle AgedPatient SelectionSuture TechniquesTreatment Outcome