LAPAROSCOPIC CHOLANGIOJEJUNOSTOMY FOR CHOLEDOCHAL CYSTS IN CHILDREN USING DOUBLE-HEMICIRCUMFERENTIAL
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The study evaluated feasibility and effectiveness of a double hemicircumferential running suture in laparoscopic cholangiojejunostomy for choledochal cysts in children.
The study was retrospective, conducted from October 2001 to October 2009.
218 choledochal cyst patients were enrolled in the study.
All patients underwent cholangiojejunostomy using double hemicircumferential anastomosis.
A 50 or 60 PDS suture thread is selected according to the diameter of the anastomosis.
10 to 15 centimeters of suture length is sufficient for the anastomosis.
The posterior wall is sutured from 3 o'clock to 9 o'clock using running continuous single-layer suture.
The anterior wall is sutured by the same technique from 3 o'clock to 9 o'clock.
The two threads are knotted at the end of the anastomosis.
Laboratory values became normal after operation.
Mean operation time was 2.95 hours.
Mean bleeding amount was 9.05 mL.
Mean hospital stay was approximately 7 days.
During follow-up, no biliary stenosis, fistula, or cholangitis was found.
The double hemicircumferential running suture technique is easy to operate in laparoscopy, time-saving, and has fewer complications.