Abstract:
:In 1723, Vater first described choledochal cyst and in 1977, Todani et al classified this disease. For many years, open excision (OP) as the standard procedure made a great impact in the treatment of choledochal cyst. Since 1995, when Farello et al first reported laparoscopic choledochal cyst excision, laparoscopic excision (LA) has been used worldwide. However, its safety remains a major concern. The aim of this meta-analysis was to compare OP with LA in treating choledochal cyst and then to determine whether LA is safe and valid. The design of this study involved systematic review and meta-analysis. Data sources were Medline, Ovid, Elsevier, Google Scholar, Embase, and Cochrane library. The study selection entailed comparative cohort studies. For data extraction, 2 investigators independently assessed selected studies and extracted the following information: study characteristics, quality, outcomes data, etc. For the results, 7 comparative cohort studies about the effectiveness of LA compared with OP were performed meta-analysis. The results showed that although the LA group had a longer operative time (MD = 56.57; 95% CI = 32.20-80.93; P < 0.00001), LA had a shorter duration of hospital stay (MD = -1.93; 95% CI = -2.51 to -1.36; P < 0.00001), and recovery of bowel function (MD = -0.94; 95% CI = -1.33 to -0.55; P < 0.00001). Meta-analysis found no significant difference between most of the 2 groups: bile leak (RR = 0.60; 95% CI = 0.29-1.24; P = 0.17), abdominal bleeding (RR = 0.33; 95% CI = 0.01-8.98; P = 0.51), pancreatitis (RR = 0.26, 95% CI = 0.06-1.03; P = 0.06), total postoperative complications (RR = 1.04; 95% CI = 0.66-1.62; P = 0.88). The LA group had significant lower rates in intraoperative blood transfusion (RR = 0.20; 95% CI = 0.11-0.38; P < 0.00001), and adhesive intestinal obstruction (RR = 0.17, 95% CI = 0.04-0.77; P = 0.02). In conclusion, compared with open excision, laparoscopic excision is a safe, valid, and feasible alternative to open excision.
journal_name
Int Surgjournal_title
International surgeryauthors
Zhen C,Xia Z,Long L,Lishuang M,Pu Y,Wenjuan Z,Xiaofan Ldoi
10.9738/INTSURG-D-14-00165.1subject
Has Abstractpub_date
2015-01-01 00:00:00pages
115-22issue
1eissn
0020-8868issn
2520-2456journal_volume
100pub_type
杂志文章,meta分析,评审abstract::Among the causes of male infertility, the varicocele accounts for 40%. Videolaparoscopic varicocelectomy was used for the treatment of 800 men as day surgery cases. The operation enabled high bilateral ligation, with an average operating time of 1.5 hours. Operative difficulties were minor being colon adhesions, vascu...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2006-09-01 00:00:00
abstract::The aim of the earliest possible diagnosis of breast carcinoma achieved through the integration of clinical, mammographic, sonographic and cytologic data has determined an increased detection of breast lesions and a greater accuracy in their description. Nevertheless, the nature of some of these lesions cannot be well...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract::The first Spigelian hernia was described in 1764. From April 1995 to April 2004, 29 patients underwent 35 Spigelian hernia repair operations in our department. The choice of primary closure or additional mesh was based on the condition of the local tissue. If the tissue appeared of good quality, primary closure was pe...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2006-09-01 00:00:00
abstract::Results obtained with temporary ileal cecostomy in 23 patients are reported. Particular attention is given to the incidence of anastomotic leakage, morbidity, mortality, hospitalization and nursing. The results achieved were successful and, although the series presented is small, the authors suggest that this techniqu...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1982-10-01 00:00:00
abstract::For a variety of reasons, mainly anatomical, the skin and soft tissue defects in the lower leg and foot remain a challenging problem for reconstructive surgeons. Simple skin grafts, local random flaps, cross leg flaps, microvascular flaps, etc., have been used to tackle this difficult problem. Although to date, probab...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
abstract::The aims of the present study were to: (1) assess surgical site infection (SSI) incidence in a cohort of surgical patients and (2) estimate the compliance with national guidelines for perioperative antibiotic prophylaxis (PAP). SSIs, among the most common health care-associated infections, are an important target for ...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00042.1
更新日期:2015-03-01 00:00:00
abstract::The skin bacterial flora of subjects who scrub their hands routinely was compared to subjects who usually do not scrub their hands, to determine the influence of the surgical scrub on the skin bacterial population. Aerobic, anaerobic and yeast cultures of 15 surgical residents and 15 internal medicine residents were o...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1984-10-01 00:00:00
abstract::Seventy-six patients with tricuspid insufficiency associated with other valvular lesions underwent De Vega annuloplasty. There were mitral lesions in 74 patients, aortic valve lesions in eight and atrial septal defects (ASD) in four. The radiographic and electrocardiographic findings and hemodynamic data are reported ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1983-07-01 00:00:00
abstract::A case of cardiac tamponade as the first manifestation of bronchogenic adenocarcinoma is presented. Diagnosis of metastatic pericarditis with effusion was made by echocardiography and cytology of the pericarditis fluid. Because of rapid recurrence of the effusion, a pericardial window was created. This operation was w...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::Angiomyolipoma, a form of mixed mesenchymal tumor, a not uncommon tumor of the kidney, is rarely found in the liver. We report a case of angiomyolipoma of the liver in a 34-year-old woman, in whom diagnosis was made by computed tomography (CT), magnetic resonance imaging, superior mesenteric and celiac trunk angiograp...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract::The records of patients treated for vulvar carcinoma at the University of Milan from January 1967 through December 1991 have been studied retrospectively, making an analysis of the results of surgical staging in terms of prognosis, morbidity and long-term survival. All cases have been reevaluated and restaged accordin...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::This single-institution experience retrospectively reviewed the outcomes in 21 patients with primary duodenal adenocarcinoma. Twelve patients underwent curative surgery, and 9 patients underwent palliative surgery at the Chiba University Hospital. The maximum follow-up period was 8650 days. All pathologic specimens fr...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/1381.1
更新日期:2011-04-01 00:00:00
abstract::Acute traumatic abdominal wall hernia (TAWH) is a rare type of hernia that occurs after a low- or high-velocity impact of the abdominal wall against a blunt object. With few cases reported, a consensus in diagnosis and management has not been established in the literature. A systematic review of the literature for adu...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:10.9738/INTSURG-D-14-00079.1
更新日期:2015-03-01 00:00:00
abstract::The purpose of this study is to introduce and evaluate a new technique of repairing bile ducts by the tubular gastric wall with a vascularized pedicle. Both the end-to-end bile duct repair and Roux-en-Y hepatoenterostomy have limitations in the treatment of benign bile duct strictures after cholecystectomy. There are ...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00260.1
更新日期:2015-06-01 00:00:00
abstract::The purpose of the present report is to demonstrate the results of conservative surgical treatment in twelve patients with postvagotomy syndrome (PVS). The reconstructive operation performed in each case depended on the preexisting drainage procedure. Out of eight patients who had undergone vagotomy and gastrojejunost...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::Endometriosis is an ectopic occurrence of tissue morphologically and functionally resembling endometrial tissue in regions outside the uterine cavity. Although scar endometriosis after surgery has been shown to be most common among all the extrapelvic forms of endometriosis, endometriosis after bladder exstrophy surge...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-12-00011.1
更新日期:2013-04-01 00:00:00
abstract::The authors discuss the clinical and etiopathogenic problems arising from prolonged postoperative bowel ileus on the basis of 705 truncal vagotomies performed over a twelve year basis. Gastroplegia was seen in 23 cases: in six, as it persisted for more than 20 days, a reoperation was necessary. A fixed surgical proced...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1980-09-01 00:00:00
abstract::The history of inguinal herniorrhaphy certainly presents some peculiar aspects. Until the 18th century this disease was studied with interest and found a place in the books of several important authors, but in practice it was treated by empiricists and barbers. We must recognize however that some of their surgical met...
journal_title:International surgery
pub_type: 历史文章,杂志文章
doi:
更新日期:1986-07-01 00:00:00
abstract::Two hundred and forty-one hip fracture patients over 70 years of age still living at home at the moment of the accident were followed prospectively until three months postoperatively. The patients were admitted to the department over a five year period (1978-1983). One hundred and forty-four patients returned home. In...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1988-07-01 00:00:00
abstract::Fecoflowmetry (FFM) has been introduced to simulate natural anorectal evacuation. So far, few reports have described the effect of the herbal medicine Daikenchuto (DKT) on impaired anorectal motor function. The aim of this pilot study was to assess anorectal motor function by FFM in postoperatively impaired patients w...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2010-10-01 00:00:00
abstract::Pancreaticoduodenectomy is considered the standard operation for periampullary tumors. Despite major advances in pancreatic surgery, pancreatic fistula is still an important cause of morbidity and mortality after pancreaticoduodenectomy. Meticulous surgical technique and proper reconstruction of the pancreas are essen...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00095.1
更新日期:2015-02-01 00:00:00
abstract::The prognosis of pancreatic duct carcinoma is determined mainly by the degree of local invasion, particularly of the portal system and/or associated arteries supplying the carcinoma. Intraoperative (25-36.5 Gy of betatron) and/or external (14.4-25.6 Gy, preoperatively, and 24-61.2 Gy, postoperatively, using lineac pho...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1988-07-01 00:00:00
abstract::The aim of this study was to retrospectively evaluate the outcome of stapled, functional, end-to-end anastomosis (FEEA) for the reconstruction of right hemicolectomy. We enrolled 204 patients who underwent a right hemicolectomy for colon carcinomas or adenomas by open surgery. One hundred two patients received an FEEA...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2009-07-01 00:00:00
abstract::Tamoxifen (Nolvadex) has been in use for over 20 years and currently is probably the most prescribed anti-cancer medication in the world. It is an orally effective, synthetic, non-steroidal, estrogen antagonist and agonist agent. In studies and trials it has been shown to have only limited side effects. It has produce...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:1993-04-01 00:00:00
abstract::Cystosarcoma phyllodes is a rare breast lesion representing between 0.5 and 2.5 percent of all breast tumors. Its microscopic and clinical features are impressive. When first described by J. Mueller in 1838, the lesion was thought to be a benign neoplasm without metastatic potential. Nevertheless, more recent reports ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract::To test whether serotonin release from the argentaffin cells of the intestinal tract can elicit peptic ulcer, rats were given intraduodenal infusions of N/10 and N/20 hydrochloric acid. Serotonin measured in the portal venous blood of rats which had had an intraduodenal infusion of N/20 HCl for five minutes was signif...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1976-06-01 00:00:00
abstract::This paper presents thermography as a useful method for the determination of regional thermal variations, during the pre- and postoperative periods, in the surgery and pathology of the hand. This method can give, directly or indirectly, very valuable information for both diagnosis and prognosis, and at times, can give...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::Horseshoe kidney is probably the most common renal fusion anomaly. With the continuous donor shortage, transplant surgeons tend to accept donors previously considered unsuitable. We present a successful case of en bloc horseshoe kidney transplant in a single recipient. The literature is reviewed. The use of horseshoe ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::This series consists of seven patients with hydatid cysts of the pancreas; five females and two males, with an average age of 31 years. In a follow-up extending up to 33 years, about a 50% rate of correct preoperative diagnosis was recorded. The most sensitive and effective diagnostic modalities such as latex agglutin...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract::A consecutive series of 385 patients with intussusception treated between January 1, 1982 and December 31, 1987 was analysed. Male patients predominated over female by a ratio of 2.2:1. Seventy nine per cent of patients were under 12 months of age. There was no seasonal variation in the incidence of intussusception. R...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1989-04-01 00:00:00