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Gastroenterology Research and Practice
Volume 2014 (2014), Article ID 670260, 8 pages
http://dx.doi.org/10.1155/2014/670260
Research Article

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

Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang City 110004, China

Received 20 October 2013; Revised 25 December 2013; Accepted 26 December 2013; Published 25 February 2014

Academic Editor: Antoni Castells

Copyright © 2014 Yuan Liu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 ( ). The mean intraoperative blood loss was significantly lower in the laparoscopic group ( ). The time until bowel peristalsis recovery, time until resumption of diet, abdominal drainage, and postoperative stay were significantly shorter in the laparoscopic group ( ). The postoperative complication rate was not higher in the laparoscopic group than in the open group ( ). Conclusions. Laparoscopic cyst excision and hepaticojejunostomy are a feasible, effective, and safe method for treating CCCs in adult patients.