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Plasencia G.

Antenor Orrego Private University

Alvarado J.C.

Regional Hospital of Trujillo

Corvera C.Z.

Cientifica del Sur University

Angulo W.P.

Antenor Orrego Private University

Laparoscopic excision versus open excision for the treatment of choledochal cysts: a systematic review and meta-analysis

Authors:

Plasencia G., Alvarado J.C., Corvera C.Z., Angulo W.P.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(3): 54‑62

DOI: 10.17116/hirurgia202403154

Read: 2384 times

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Table of contents

LAPAROSCOPIC EXCISION VERSUS OPEN EXCISION FOR THE TREATMENT OF CHOLEDOCHAL CYSTS: A SYSTEMATIC REVIEW AND META-ANALYSIS
LAPAROSCOPIC EXCISION VERSUS OPEN EXCISION FOR THE TREATMENT OF CHOLEDOCHAL CYSTS: A SYSTEMATIC REVIEW AND META-ANALYSIS

To cite this article:

Plasencia G, Alvarado JC, Corvera CZ, Angulo WP. Laparoscopic excision versus open excision for the treatment of choledochal cysts: a systematic review and meta-analysis. Pirogov Russian Journal of Surgery. 2024;(3):54‑62. (In Russ.)
https://doi.org/10.17116/hirurgia202403154

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 determine if laparoscopic excision is more effective than open excision in the treatment of choledochal cysts.

MATERIAL AND METHODS

A systematic review of randomized clinical trials in 3 databases measuring the efficacy of laparoscopic and open excision of choledochal cysts was performed. The authors considered international and national reports, whose results were analyzed in detail.

RESULTS

Mean duration of laparoscopic excision was 51 min, open excision — 35.4 min. Length of hospital-stay after laparoscopic excision ranged between 5 and 74 days, after open excision — between 7 and 146 days. Bile leakage rate was 1-2% and 4%, respectively. Laparoscopic excision was followed by lower complication rate. Morbidity and mortality in laparoscopic excision was 20% and 0%, in open excision — 60% and 3.3%, respectively.

CONCLUSION

Laparoscopic excision is more effective than open excision in the treatment of choledochal cysts.

Keywords:

choledochal cyst
laparoscopic excision
open excision

Authors:

Plasencia G.

Antenor Orrego Private University

Alvarado J.C.

Regional Hospital of Trujillo

Corvera C.Z.

Cientifica del Sur University

Angulo W.P.

Antenor Orrego Private University

Received:

21.07.2023

Accepted:

04.08.2023

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