A coparative study of laparoscopic Roux-en-Y choledochojejunostomy vs open Roux-en-Y choledochojejunostomy
10.3760/cma.j.issn.1007-631X.2015.03.012
- VernacularTitle:完全腹腔镜肝总管空肠吻合术与开腹手术的对比分析
- Author:
Jie HUANG
;
Kui LONG
;
Dingwei XU
;
Min SUN
- Publication Type:Journal Article
- Keywords:
Choledochostomy;
Laparoscopes;
Anastomosis,Roux-en-Y
- From:
Chinese Journal of General Surgery
2015;30(3):219-222
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the feasibility and safety of laparoscopic Roux-en-Y choledochojejunostomy versus open Roux-en-Y choledochojejunostomy.Methods From October 2011 to June 2013,37 patients underwent laparoscopic Roux-en-Y choledochojejunostomy (observation group) and 42 underwent open Roux-en-Y choledochojejunostomy (control group).We retrospectively compare the two groups in terms of operation time,intraoperative blood loss,length of incision,postoperative hospital stay,postoperative gastrointestinal function recovery time,incision infection rate and the incidence of biliary fistula after surgery.Results In observation group operation time was (275.43 t 12.28) min,higher than that of control group (189.12 ± 19.35) min (P =0.031),intraoperative blood loss was (83.13 ±6.34) ml,incision length (5.76 ±0.7) cm,postoperative recovery time of gastrointestinal tract of (43.33 ±3.15) h,postoperative hospital stay (12.65 ± 2.19) d,were in favor of the observation group which were respectively (180.37 ±9.67) ml,(18.51 ±1.9) cm,(70.45 ±4.97) h and (22.16 ±4.61) d (t =33.17,36.73,33.17,P ＜ 0.05).Postoperative incision infection rate in observation group was 5.4％,lower than the control group (19.07％) (chi-square =22.12,P ＜ 0.05).Between the two groups there was no significant difference in the incidence of biliary fistula.Conclusions Laparoscopic Roux-en-Y hepatojejunostomy is safe,effective,and less traumatic procedure.
