RESECCIÓN DE QUISTE DE COLÉDOCO MÁS HEPÁTICODUODENO ANASTOMOSIS POR VIDEOLAPAROSCOPIA
DOI:
https://doi.org/10.18041/2390-0512/biociencias.2.5000Palabras clave:
Caracterización, quiste de colédoco, reflujo gástrico, sangradoResumen
Objetivo: Caracterizar los pacientes, resultados quirúrgicos y de morbimortalidad de la resección de quiste de colédoco más hepaticoduodeno anastomosis por video laparoscopia en la ciudad de Barranquilla -Colombia durante el periodo 2012-2018. Materiales y Métodos: Estudio descriptivo, retrospectivo; diseñado bajo los fundamentos del paradigma cuantitativo, el cual consta de revisión y toma de información de historias clínicas con el objetivo de caracterizar los pacientes, resultados quirúrgicos y morbimortalidad de la resección de quiste de colédoco más hepatoduodeno anastomosis por video laparoscopia en la ciudad de Barranquilla –Colombia en periodo comprendido entre los años de 2012-2018. Resultados: Durante la caracterización se encontró mayor prevalencia del sexo femenino, tipo de quiste de colédoco más común es el tipo I, el tiempo del procedimiento quirúrgico de mayor porcentaje corresponde al intervalo entre 121 – 180 minutos, el inicio de la vía oral de mayor porcentaje corresponde a las primeras 24 horas, la estancia hospitalaria de mayor porcentaje corresponde al intervalo entre 1 y 7 días. Conclusiones: La resección de quiste de colédoco más hepaticoduodeno anastomosis por vía laparoscópica es un procedimiento eficaz y seguro en el ámbito local; nuestra experiencia se asemeja a la descrita en la literatura; demostrándose que los resultados en cuanto a morbimortalidad, complicaciones, inicio de vía oral y estancia hospitalaria se asemejan a los descritos a nivel mundial para dicha técnica quirúrgica.
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Referencias
1. Sarath Kumar Narayanan, Yong Chen, Kannan Laksmi Narasimhan, Ralph Clinton Cohen. Hepaticoduodenostomy versus hepaticojejunostomy after resection of choledochal cyst: A systematic review and meta-analysis, journal of pediatric surgery 2013; 48, 2336 – 2342.
2. Chinnusamy Palanivelu, Muthukumaran Rangarajan, Ramakrishnan Parthasarathi, Vennapusa Amar, Palanisamy Senthilnathan, Laparoscopic Management of Choledochal Cysts: Technique and Outcomes—A Retrospective Study of 35 Patients from a Tertiary Center, journal of the American college of surgery 2008; volume 7 pag 839- 846.
3. Kevin Soares, Dean Arnaoutakis, Ihab Kamel, Neda Rastegar, Robert Anders, Shishir Maithel, Timothy Pawlik Choledochal Cysts: Presentation, Clinical Differentiation, and Management, journal of the American college of surgery 2014; 1167 – 1180.
4. Huang CS, Huang CC, Chen DF. Choledochal cyst: differences between pediatric and adult pacients. Journal gastrointestinal surgery 2010; 14: 1105-1110.
5. Rozel C, Garel L, Rypens F, et al. imaging of biliary disorders in children. Pediatric radiology 2011; 41; 208- 220.
6. Lee SE, Jang JY, Lee YJ, et al. Choledochal cyst and associated malignant tumors in adult: a multicenter survey in south korea. Arch surg 2011; 146; 1178- 1184.
7. Hill R, Parson C, Farrant P, et al. Intrahepatic duct dilatation in type 4 choledochal malformation: pressure- related, postoperative resolution. Journal pediatric surgery 2011; 46; 299 – 303.
8. Ziegler KM, Zyromski NJ, Choledochoceles; are they choledochal cysts? Adv surg 2011; 45; 211 – 224.
9. Fitoz S, Erden A, Boruban S. Magnetic resonance cholangiopancreatography of biliary system abnormalities in children. Clin Imaging 2007;31:93e101.
10. Sacher VY, Davis JS, Sleeman D, Casillas J. Role of magnetic resonance cholangiopancreatography in diagnosing choledochal cysts: Case series and review. World J Radiol 2013;5:304e312.
11. Huang CT, Lee HC, Chen WT, et al. Usefulness of magnetic resonance cholangiopancreatography in pancreatobiliary abnormalities in pediatric patients. Pediatr Neonatol 2011;52:332e336.
12. Punia RP, Garg S, Bisht B, et al. Clinico-pathological spectrum of gallbladder disease in children. Acta Paediatr 2010; 99:1561e1564. 99. Sugandhi N, Agarwala S, Bhatnagar V, et al. Liver histology in choledochal cyst- pathological changes and response to surgery: the overlooked aspect? Pediatr Surg Int 2014;30: 205e211.
13. Zheng LX, Jia HB, Wu DQ, et al. Experience of congenital choledochal cyst in adults:treatment, surgical procedures and clinical outcome in the Second Affiliated Hospital of Harbin Medical University. J Korean Med Sci 2004;19:842e847.
14. Yonem O, Bayraktar Y. Clinical characteristics of Caroli’s syndrome. World J Gastroenterol 2007;13:1934e1937.
15. Aishima S, Kubo Y, Tanaka Y, Oda Y. Histological features of precancerous and early cancerous lesions of biliary tract carcinoma. J Hepatobiliary Pancreat Sci 2014;21:448e452.
16. Liem NT, Pham HD, Dung le A, et al. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A 2012; 22:599e603.
17. Yamataka A, Lane GJ, Cazares J. Laparoscopic surgery for biliary atresia and choledochal cyst. Semin Pediatr Surg 2012;21:201e210. 147. Dawrant MJ, Najmaldin AS, Alizai NK. Robot-assisted resection of choledochal cysts and hepaticojejunostomy in children less than 10 kg. J Pediatr Surg 2010;45:2364e2368.
18. Liuming H, Hongwu Z, Gang L, et al.The effect of laparoscopic excision vs open excision in children with choledochal cyst: a midterm follow-up study. J Pediatr Surg 2011;46:662e665.
19. Tang ST, Yang Y, Wang Y, et al. Laparoscopic choledochal cyst excision, hepaticojejunostomy, and extracorporeal Roux-en-Y anastomosis: a technical skill and intermediateterm report in 62 cases. Surg Endosc 2011;25:416e422.
20. Gander JW, Cowles RA, Gross ER, et al. Laparoscopic excision of choledochal cysts with total intracorporeal reconstruction. J Laparoendosc Adv Surg Tech A 2010;20:877e881.
21. Wang B, Feng Q, Mao JX, et al. Early experience with laparoscopic excision of choledochal cyst in 41 children. J Pediatr Surg 2012;47:2175e2178.
22. Diao M, Li L, Cheng W. Laparoscopic versus open Roux-enY hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results. Surg Endosc 2011;25: 1567e1573.
23. Mishra A, Pant N, Chadha R, et al. Choledochal cysts in infancy and childhood. Indian J Pediatr 2007 Oct;74(10):937-43.
24. Liem NT, Pham HD, Dung le A, et al. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A 2012;22(6):599-603.
25. Mukhopadhyay B, Shukla RM, Mukhopadhyay M, et al. Choledochal cyst: a review of 79 cases and the role of hepaticodochoduodenostomy. J Indian Assoc Pediatr Surg 2011;16(2):54-7
26. Santore MT, Behar BJ, Blinman TA, et al. Hepaticoduodenostomy vs hepaticojejunostomy for reconstruction after resection of choledochal cyst. J Pediatr Surg 2011;46(1):209-13.
27. Vila-Carbó JJ, Lluna González J, Hernández Anselmi E, et al. Congenital choledochal cyst and laparoscopic techniques. Cir Pediatr 2007;20:129–132.
28. Abbas HM, Yassin NA, Ammori BJ. Laparoscopic resection of type I choledochal cyst in an adult and Roux-en-Y hepaticojejunostomy: a case report and literature review. Surg Laparosc Endosc Percutan Tech 2006;16:439–444.
29. Srimurthy KR, Ramesh S. Laparoscopic management of pediatric choledochal cysts in developing countries: review of ten cases. Pediatr Surg Int 2006;2:144–149.
30. Laje P, Questa H, Bailez M. Laparoscopic leak-free technique for the treatment of choledochal cysts. J Laparoendosc Adv Surg Tech A 2007;17:519–521. 26.
31. Aspelund G, Ling SC, Ng V, Kim PC. A role for laparoscopic approach in the treatment of biliary atresia and choledochal cysts. J Pediatr Surg 2007;42:869–872.
32. Chang EY, Hong YJ, Chang HK, et al. Lessons and tips from the experience of pediatric robotic choledochal cyst resection. J Laparoendosc Adv Surg Tech A 2012;22:609e614. 160. Akaraviputh T, Trakarnsanga A, Suksamanapun N. Robotassisted complete excision of choledochal cyst type I, hepaticojejunostomy and extracorporeal Roux-en-y anastomosis: a case report and review literature. World J Surg Oncol 2010;8:87.
33. Kang CM, Chi HS, Kim JY, et al. A case of robot-assisted excision of choledochal cyst, hepaticojejunostomy, and extracorporeal Roux-en-y anastomosis using the da Vinci surgical system. Surg Laparosc Endosc Percutan Tech 2007;17: 538e541.
34. Woon CY, Tan YM, Oei CL, et al. Adult choledochal cysts: an audit of surgical management. ANZ J Surg 2006;76: 981e986.
35. M. Sica*, F. Molinaro, R. Angotti, E. Bindi, E. Brandigi, M. Messina, Choledochal cyst: Early experience by laparoscopic approach, Journal of Pediatric Surgery 2016 ; 11; 4-6.
36. ] Kim NY, Chang EY, Hong YJ, Park S, Kim HY, Bai SJ, et al. Retrospective Assessment of the validity of robotic surgery in comparison to open surgery for pediatric choledochal cyst. Yonsei Med J 2015 May;56(3):737e43.
37. Lee JH, Kim SH, Kim HY, Choi YH, Jung SE, Park KW. Early experience of laparoscopic choledochal cyst excision in children. J Korean Surg Soc 2013 Nov;85:225e9
38. Liu SL, Li L, Hou WY, Zhang J, Huang LM, Li X, et al. Laparoscopic excision of choledochal cyst and Roux-en-Y hepaticojejunostomy in symptomatic neonates. J Pediatr Surg 2009;44:508e11.
39. Diao M, Li Long, Cheng W. Role of laparoscopy in treatment of choledochal cysts in children. Pediatr Surg Int 2013;29:317e26}
40. Besner GE. Pediatric choledochal cyst surgery: background, epidemiology, pathophysiology, surgery and pediatrics; 2015 Nov. p. 1e7. emedicine.
41. Congo K, Lopes MF, Oliviera PH, Matos H, Basso S, Reis A. Outcomes of choledochal cysts with or without intrahepatic involvement in children after extrahepatic cyst excision and Roux-en-Y hepaticojejunostomy. Ann Hepatol 2012;11(4):536e43.
42. Soares KC, Arnaoutakis DJ, Kamel I, Rastegar N, Anders R, Maithel S, et al. Chledochal cysts: presentation, clinical differentiation and management. J Am Coll Surg 2014 Dec;219(6):1167e80
43. Cherqaoui A, Haddad M, Roman C, Gorincour G, Marti JY, Bonnard A, et al. Management of choledochal cyst: evolution with antenatal diagnosis and laparoscopic approach. J Minim Access Surg 2012 Oct;8(4):129e33.
44. Nhu Thao Nguyen Galván∗, Kayla Kumm, Dor Yoeli, Ellen Witte, Michael Kueht, Ronald Timothy Cotton, Abbas Rana, Christine A. O’Mahony, John A. Goss, An impressive choledochal cyst and its surgical resection, International Journal of Surgery 2017; 48 – 50.
45. M.A. Moslim, H. Takahashi, F.G. Seifarth, R.M. Walsh, G. Morris-Stiff, Choledochal cyst disease in a western center: a 30-year experience, J. Gastrointest. Surg. 20 (August (8)) (2016) 1453–1463.
46. K. Soreide, J.A. Soreide, Bile duct cyst as precursor to biliary tract cancer, Ann. Surg. Oncol. 14 (3) (2007) 1200–1211.
47. S.M. Ronnekleiv-Kelly, K.C. Soares, A. Ejaz, T.M. Pawlik, Management of choledochal cysts, Curr. Opin. Gastroenterol. (2016) (Ahead of print).
48. K.C. Soares, Y. Kim, G. Spolverato, et al., Presentation and clinical outcomes of ’choledochal cysts in children and adults: a multi-institutional analysis, JAMA Surg. 150 (2015) 577–584.
49. Rivera Casas, A., & Rueda Barrios, A. (2016). Diagnóstico y prevención del parto pretermino. Una actualización de la literatura. Biociencias, 11(2), 53-64. https://doi.org/10.18041/2390-0512/bioc.2.2564
2. Chinnusamy Palanivelu, Muthukumaran Rangarajan, Ramakrishnan Parthasarathi, Vennapusa Amar, Palanisamy Senthilnathan, Laparoscopic Management of Choledochal Cysts: Technique and Outcomes—A Retrospective Study of 35 Patients from a Tertiary Center, journal of the American college of surgery 2008; volume 7 pag 839- 846.
3. Kevin Soares, Dean Arnaoutakis, Ihab Kamel, Neda Rastegar, Robert Anders, Shishir Maithel, Timothy Pawlik Choledochal Cysts: Presentation, Clinical Differentiation, and Management, journal of the American college of surgery 2014; 1167 – 1180.
4. Huang CS, Huang CC, Chen DF. Choledochal cyst: differences between pediatric and adult pacients. Journal gastrointestinal surgery 2010; 14: 1105-1110.
5. Rozel C, Garel L, Rypens F, et al. imaging of biliary disorders in children. Pediatric radiology 2011; 41; 208- 220.
6. Lee SE, Jang JY, Lee YJ, et al. Choledochal cyst and associated malignant tumors in adult: a multicenter survey in south korea. Arch surg 2011; 146; 1178- 1184.
7. Hill R, Parson C, Farrant P, et al. Intrahepatic duct dilatation in type 4 choledochal malformation: pressure- related, postoperative resolution. Journal pediatric surgery 2011; 46; 299 – 303.
8. Ziegler KM, Zyromski NJ, Choledochoceles; are they choledochal cysts? Adv surg 2011; 45; 211 – 224.
9. Fitoz S, Erden A, Boruban S. Magnetic resonance cholangiopancreatography of biliary system abnormalities in children. Clin Imaging 2007;31:93e101.
10. Sacher VY, Davis JS, Sleeman D, Casillas J. Role of magnetic resonance cholangiopancreatography in diagnosing choledochal cysts: Case series and review. World J Radiol 2013;5:304e312.
11. Huang CT, Lee HC, Chen WT, et al. Usefulness of magnetic resonance cholangiopancreatography in pancreatobiliary abnormalities in pediatric patients. Pediatr Neonatol 2011;52:332e336.
12. Punia RP, Garg S, Bisht B, et al. Clinico-pathological spectrum of gallbladder disease in children. Acta Paediatr 2010; 99:1561e1564. 99. Sugandhi N, Agarwala S, Bhatnagar V, et al. Liver histology in choledochal cyst- pathological changes and response to surgery: the overlooked aspect? Pediatr Surg Int 2014;30: 205e211.
13. Zheng LX, Jia HB, Wu DQ, et al. Experience of congenital choledochal cyst in adults:treatment, surgical procedures and clinical outcome in the Second Affiliated Hospital of Harbin Medical University. J Korean Med Sci 2004;19:842e847.
14. Yonem O, Bayraktar Y. Clinical characteristics of Caroli’s syndrome. World J Gastroenterol 2007;13:1934e1937.
15. Aishima S, Kubo Y, Tanaka Y, Oda Y. Histological features of precancerous and early cancerous lesions of biliary tract carcinoma. J Hepatobiliary Pancreat Sci 2014;21:448e452.
16. Liem NT, Pham HD, Dung le A, et al. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A 2012; 22:599e603.
17. Yamataka A, Lane GJ, Cazares J. Laparoscopic surgery for biliary atresia and choledochal cyst. Semin Pediatr Surg 2012;21:201e210. 147. Dawrant MJ, Najmaldin AS, Alizai NK. Robot-assisted resection of choledochal cysts and hepaticojejunostomy in children less than 10 kg. J Pediatr Surg 2010;45:2364e2368.
18. Liuming H, Hongwu Z, Gang L, et al.The effect of laparoscopic excision vs open excision in children with choledochal cyst: a midterm follow-up study. J Pediatr Surg 2011;46:662e665.
19. Tang ST, Yang Y, Wang Y, et al. Laparoscopic choledochal cyst excision, hepaticojejunostomy, and extracorporeal Roux-en-Y anastomosis: a technical skill and intermediateterm report in 62 cases. Surg Endosc 2011;25:416e422.
20. Gander JW, Cowles RA, Gross ER, et al. Laparoscopic excision of choledochal cysts with total intracorporeal reconstruction. J Laparoendosc Adv Surg Tech A 2010;20:877e881.
21. Wang B, Feng Q, Mao JX, et al. Early experience with laparoscopic excision of choledochal cyst in 41 children. J Pediatr Surg 2012;47:2175e2178.
22. Diao M, Li L, Cheng W. Laparoscopic versus open Roux-enY hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results. Surg Endosc 2011;25: 1567e1573.
23. Mishra A, Pant N, Chadha R, et al. Choledochal cysts in infancy and childhood. Indian J Pediatr 2007 Oct;74(10):937-43.
24. Liem NT, Pham HD, Dung le A, et al. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A 2012;22(6):599-603.
25. Mukhopadhyay B, Shukla RM, Mukhopadhyay M, et al. Choledochal cyst: a review of 79 cases and the role of hepaticodochoduodenostomy. J Indian Assoc Pediatr Surg 2011;16(2):54-7
26. Santore MT, Behar BJ, Blinman TA, et al. Hepaticoduodenostomy vs hepaticojejunostomy for reconstruction after resection of choledochal cyst. J Pediatr Surg 2011;46(1):209-13.
27. Vila-Carbó JJ, Lluna González J, Hernández Anselmi E, et al. Congenital choledochal cyst and laparoscopic techniques. Cir Pediatr 2007;20:129–132.
28. Abbas HM, Yassin NA, Ammori BJ. Laparoscopic resection of type I choledochal cyst in an adult and Roux-en-Y hepaticojejunostomy: a case report and literature review. Surg Laparosc Endosc Percutan Tech 2006;16:439–444.
29. Srimurthy KR, Ramesh S. Laparoscopic management of pediatric choledochal cysts in developing countries: review of ten cases. Pediatr Surg Int 2006;2:144–149.
30. Laje P, Questa H, Bailez M. Laparoscopic leak-free technique for the treatment of choledochal cysts. J Laparoendosc Adv Surg Tech A 2007;17:519–521. 26.
31. Aspelund G, Ling SC, Ng V, Kim PC. A role for laparoscopic approach in the treatment of biliary atresia and choledochal cysts. J Pediatr Surg 2007;42:869–872.
32. Chang EY, Hong YJ, Chang HK, et al. Lessons and tips from the experience of pediatric robotic choledochal cyst resection. J Laparoendosc Adv Surg Tech A 2012;22:609e614. 160. Akaraviputh T, Trakarnsanga A, Suksamanapun N. Robotassisted complete excision of choledochal cyst type I, hepaticojejunostomy and extracorporeal Roux-en-y anastomosis: a case report and review literature. World J Surg Oncol 2010;8:87.
33. Kang CM, Chi HS, Kim JY, et al. A case of robot-assisted excision of choledochal cyst, hepaticojejunostomy, and extracorporeal Roux-en-y anastomosis using the da Vinci surgical system. Surg Laparosc Endosc Percutan Tech 2007;17: 538e541.
34. Woon CY, Tan YM, Oei CL, et al. Adult choledochal cysts: an audit of surgical management. ANZ J Surg 2006;76: 981e986.
35. M. Sica*, F. Molinaro, R. Angotti, E. Bindi, E. Brandigi, M. Messina, Choledochal cyst: Early experience by laparoscopic approach, Journal of Pediatric Surgery 2016 ; 11; 4-6.
36. ] Kim NY, Chang EY, Hong YJ, Park S, Kim HY, Bai SJ, et al. Retrospective Assessment of the validity of robotic surgery in comparison to open surgery for pediatric choledochal cyst. Yonsei Med J 2015 May;56(3):737e43.
37. Lee JH, Kim SH, Kim HY, Choi YH, Jung SE, Park KW. Early experience of laparoscopic choledochal cyst excision in children. J Korean Surg Soc 2013 Nov;85:225e9
38. Liu SL, Li L, Hou WY, Zhang J, Huang LM, Li X, et al. Laparoscopic excision of choledochal cyst and Roux-en-Y hepaticojejunostomy in symptomatic neonates. J Pediatr Surg 2009;44:508e11.
39. Diao M, Li Long, Cheng W. Role of laparoscopy in treatment of choledochal cysts in children. Pediatr Surg Int 2013;29:317e26}
40. Besner GE. Pediatric choledochal cyst surgery: background, epidemiology, pathophysiology, surgery and pediatrics; 2015 Nov. p. 1e7. emedicine.
41. Congo K, Lopes MF, Oliviera PH, Matos H, Basso S, Reis A. Outcomes of choledochal cysts with or without intrahepatic involvement in children after extrahepatic cyst excision and Roux-en-Y hepaticojejunostomy. Ann Hepatol 2012;11(4):536e43.
42. Soares KC, Arnaoutakis DJ, Kamel I, Rastegar N, Anders R, Maithel S, et al. Chledochal cysts: presentation, clinical differentiation and management. J Am Coll Surg 2014 Dec;219(6):1167e80
43. Cherqaoui A, Haddad M, Roman C, Gorincour G, Marti JY, Bonnard A, et al. Management of choledochal cyst: evolution with antenatal diagnosis and laparoscopic approach. J Minim Access Surg 2012 Oct;8(4):129e33.
44. Nhu Thao Nguyen Galván∗, Kayla Kumm, Dor Yoeli, Ellen Witte, Michael Kueht, Ronald Timothy Cotton, Abbas Rana, Christine A. O’Mahony, John A. Goss, An impressive choledochal cyst and its surgical resection, International Journal of Surgery 2017; 48 – 50.
45. M.A. Moslim, H. Takahashi, F.G. Seifarth, R.M. Walsh, G. Morris-Stiff, Choledochal cyst disease in a western center: a 30-year experience, J. Gastrointest. Surg. 20 (August (8)) (2016) 1453–1463.
46. K. Soreide, J.A. Soreide, Bile duct cyst as precursor to biliary tract cancer, Ann. Surg. Oncol. 14 (3) (2007) 1200–1211.
47. S.M. Ronnekleiv-Kelly, K.C. Soares, A. Ejaz, T.M. Pawlik, Management of choledochal cysts, Curr. Opin. Gastroenterol. (2016) (Ahead of print).
48. K.C. Soares, Y. Kim, G. Spolverato, et al., Presentation and clinical outcomes of ’choledochal cysts in children and adults: a multi-institutional analysis, JAMA Surg. 150 (2015) 577–584.
49. Rivera Casas, A., & Rueda Barrios, A. (2016). Diagnóstico y prevención del parto pretermino. Una actualización de la literatura. Biociencias, 11(2), 53-64. https://doi.org/10.18041/2390-0512/bioc.2.2564
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2018-11-21
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ARTÍCULOS DE INVESTIGACIÓN CIENTÍFICA Y TECNOLÓGICA
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Cómo citar
RESECCIÓN DE QUISTE DE COLÉDOCO MÁS HEPÁTICODUODENO ANASTOMOSIS POR VIDEOLAPAROSCOPIA. (2018). Biociencias, 13(2), 71-84. https://doi.org/10.18041/2390-0512/biociencias.2.5000
