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Razumovsky A.Yu.

Pirogov Russian National Research Medical University;
N.F. Filatov Children’s City Clinical Hospital

Mitupov Z.B.

Pirogov Russian National Research Medical University;
N.F. Filatov Children’s City Clinical Hospital

Kulikova N.V.

Pirogov Russian National Research Medical University;
Filatov Children`s Hospital

Stepanenko N.S.

Pirogov Russian National Research Medical University;
Filatov Children`s Hospital

Zadvernyuk A.S.

Pirogov Russian National Research Medical University;
Filatov Children`s Hospital

Titova E.A.

Filatov Children`s Hospital

Shubin N.V.

Pirogov Russian National Research Medical University;
Filatov Children’s City Clinical Hospital

Efficiency of minilaparotomy in the treatment of choledochal malformation in children

Authors:

Razumovsky A.Yu., Mitupov Z.B., Kulikova N.V., Stepanenko N.S., Zadvernyuk A.S., Titova E.A., Shubin N.V.

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Journal: Pirogov Russian Journal of Surgery. 2021;(5): 63‑71

DOI: 10.17116/hirurgia202105163

Read: 1730 times

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Table of contents

EFFICIENCY OF MINILAPAROTOMY IN THE TREATMENT OF CHOLEDOCHAL MALFORMATION IN CHILDREN
EFFICIENCY OF MINILAPAROTOMY IN THE TREATMENT OF CHOLEDOCHAL MALFORMATION IN CHILDREN

To cite this article:

Razumovsky AYu, Mitupov ZB, Kulikova NV, Stepanenko NS, Zadvernyuk AS, Titova EA, Shubin NV. Efficiency of minilaparotomy in the treatment of choledochal malformation in children. Pirogov Russian Journal of Surgery. 2021;(5):63‑71. (In Russ.)
https://doi.org/10.17116/hirurgia202105163

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate an effectiveness of minilaparotomy in the treatment of choledochal malformation (CM) in children.

MATERIAL AND METHODS

The study included children with CM who underwent surgery from January 2010 to May 2020. All patients were divided into 3 groups depending on surgical approach: minilaparotomy (ML), laparoscopy (LS) and laparotomy (LT). We analyzed surgery time, early postoperative outcomes and cosmetic results.

RESULTS

There were 99 patients with CM for 10 years. ML was performed in 39 patients, LS — in 51 patients, and LT — in 9 patients. Significantly (p-value <0.001, Kruskal—Wallis test with Dunn paired comparison test, p<0.05) less surgery time was observed in ML group. According to Clavien-Dindo classification of surgical complications, we found a significant prevalence of complications in the LS group (p — 0.018, Kruskal—Wallis test). Moreover, LS was characterized by insignificant (p>0.05) predominance of the most severe complications requiring multiple redo surgeries.

CONCLUSION

Currently, open surgery is a “gold standard” in the treatment of children with CM. LS is not preferred in children with CM. ML ensures favorable early outcomes in children with CM.

Keywords:

choledochal cyst
choledochal malformation
cyst of the common bile duct
minilaparotomy
laparoscopy
excision of choledochal malformation/cyst

Authors:

Razumovsky A.Yu.

Pirogov Russian National Research Medical University;
N.F. Filatov Children’s City Clinical Hospital

Mitupov Z.B.

Pirogov Russian National Research Medical University;
N.F. Filatov Children’s City Clinical Hospital

Kulikova N.V.

Pirogov Russian National Research Medical University;
Filatov Children`s Hospital

Stepanenko N.S.

Pirogov Russian National Research Medical University;
Filatov Children`s Hospital

Zadvernyuk A.S.

Pirogov Russian National Research Medical University;
Filatov Children`s Hospital

Titova E.A.

Filatov Children`s Hospital

Shubin N.V.

Pirogov Russian National Research Medical University;
Filatov Children’s City Clinical Hospital

Received:

08.08.2020

Accepted:

10.09.2020

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References:

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