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- W2895197212 abstract "Objectives: For choledocojejunostomy (CJ), we have used continuous suture when using the laparoscopic approach and have standardized it, while we have used interrupted sutures when using the open approach. The aim of this study was to evaluate the results of laparoscopic CJ using continuous suture. Methods: Between April 2011 and March 2017, 224 patients underwent CJ after pancreaticoduodenectomy in 205, extrahepatic bile duct resection in 18, and simple transection of the common hepatic duct in 1. Of the 224 patients, 3 who had a choledochal cyst, 2 who underwent interrupted suture via a laparoscopic approach, and 1 who underwent continuous suture via an open approach were excluded. Clinical characteristics, surgical findings, and the incidence of biliary complications were compared between the “laparoscopic CJ using continuous suture (LCJ)” group (n = 59) and the “open CJ using interrupted suture (OCJ)” group (n = 159). Results: The mean observation period was longer for the LCJ group than for the OCJ group (31.6 vs. 25.3 months, p = 0.03). The incidence of postoperative cholangitis tended to be higher (16.9% vs. 8.2%, p = 0.061) and the incidence of intrahepatic stone was significantly higher in the LCJ group (8.4% vs. 1.9%, p = 0.035). The proportion of patients who required invasive intervention for anastomotic stenosis, such as endoscopic or percutaneous stenting or surgical reanastomosis, was significantly higher in the LCJ group (11.7% vs. 1.9%, p = 0.005). Conclusions: Although LCJ using continuous suture had been standardized within the study period, it is more likely to cause anastomotic stenosis than OCJ using interrupted suture." @default.
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- W2895197212 date "2018-09-01" @default.
- W2895197212 modified "2023-09-30" @default.
- W2895197212 title "Results of laparoscopic choledocojejunostomy using continuous suture" @default.
- W2895197212 doi "https://doi.org/10.1016/j.hpb.2018.06.1537" @default.
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