Total Laparoscopic Roux-en-Y Cholangiojejunostomy for the Treatment of Biliary Disease

De-xing, Chen; Zhu, Andong; Zhang, Zhibo

doi:10.4293/108680813x13654754535232

Cited by 21 publications

(19 citation statements)

References 15 publications

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“…Full texts were thus evaluated, including the relative references of each study. Finally, a total of 31 reports were included in the analysis . The PRISMA diagram is given in Figure .…”

Section: Resultsmentioning

confidence: 99%

“…Of these, 53 patients (45%) underwent conventional laparoscopic surgery, while 64 patients (55%) received surgery with the robot. As for surgical procedures, 109 patients (94%) were treated with standard Roux‐en‐Y hepaticojejunostomy (HJ), while eight patients received alternative procedures including Roux‐en‐Y choledochojejunostomy, left hemihepatectomy and HJ, Roux‐en‐Y bi‐HJ, the Kasai procedure, redo‐HJ, and HJ on a previous Roux‐en‐Y gastric bypass . The overall rate of conversion to an open procedure was <1%, ranging from 0 to 25% among studies.…”

Section: Resultsmentioning

confidence: 99%

“…Despite this, the application of MIS in the management of cholecystectomy‐related BDI has increased over recent years, with a number of experienced centers worldwide reporting promising results . However, general conclusions are difficult to draw, as the currently available data are mainly derived from studies of low‐level evidence reporting highly variable outcomes . Accordingly, the aim of our study was to pool the available evidence from the literature to define the actual role of MIS in the surgical repair of BDI due to cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

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Minimally invasive surgery for the management of major bile duct injury due to cholecystectomy

Guerra

Coletta

Gavioli

et al. 2020

J Hepato Biliary Pancreat

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Background In recent years there has been a growing interest in the application of minimally invasive surgery in the management of cholecystectomy‐related injury to the biliary tract. The aim of this analysis was to identify and combine the available evidence on the argument, with particular reference to major injuries to the main bile duct requiring biliodigestive anastomosis. Methods The PubMed/MEDLINE, Embase, and Web of Science electronic databases were queried through May 2019. Inclusion criteria considered all studies reporting detailed data about patients with bile duct injury following cholecystectomy receiving minimally invasive (both laparoscopic and robotic) surgical repair. Clinical outcomes data were pooled and analyzed. Results A total of 31 studies reporting on the outcomes of 218 patients were eventually included in the analysis, whereby 148 patients with type D or E injury. Of these, there were 31 patients (21%) receiving direct bile duct repair and 117 patients (79%) undergoing bilioenteric reconstruction. Among patients with major bile duct injury, postoperative morbidity was 24%, being 12% the incidence of major complications and 6% the rate of patients requiring subsequent, further surgery. Conclusions The absence of high‐level evidences precludes the possibility to draw definitive conclusions. However, the available data derived from a growing number of centers demonstrate that minimally invasive surgery may offer its well‐known advantages on postoperative outcomes also in the setting of severe iatrogenic injury to the bile ducts.

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“…Full texts were thus evaluated, including the relative references of each study. Finally, a total of 31 reports were included in the analysis . The PRISMA diagram is given in Figure .…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Minimally invasive surgery for the management of major bile duct injury due to cholecystectomy

Guerra

Coletta

Gavioli

et al. 2020

J Hepato Biliary Pancreat

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“…8,9 In addition, to the best of our knowledge, no studies exist that have evaluated the learning curve associated with LCJ and that could assist surgeons who begin performing LCJ. The aims of this study were to measure the learning curve of LCJ, describe the technical tips acquired by the authors, and report the results and follow-up data of the patients who underwent LCJ.…”

Section: Introductionmentioning

confidence: 98%

Laparoscopic Choledochojejunostomy in Various Hepatobiliary and Pancreatic Surgeries: A Single Surgeon's Experience

Lee

Hong

2015

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…Choledochal cysts are treated by surgical excision. 8 Complications resulting from these cysts include cholangitis and a 2% risk of malignant transformation.…”

Section: Introductionmentioning

confidence: 99%

Characterizing the activation of the Wnt signaling pathway in hilar cholangiocarcinoma using a tissue microarray approach

et al. 2016

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Hilar cholangiocarcinoma (HCCA) is an invasive hepatic malignancy that is difficult to biopsy; therefore, novel markers of HCCA prognosis are needed. Here, the level of canonical Wnt activation in patients with HCCA, intrahepatic cholangiocarcinoma (IHCC), and congenital choledochal cysts (CCC) was compared to understand the role of Wnt signaling in HCCA. Pathology specimens from HCCA (n=129), IHCC (n=31), and CCC (n=45) patients were used to construct tissue microarrays. Wnt2, Wnt3, β-catenin, TCF4, c-Myc, and cyclin D1 were detected by immunohistochemistry. Parallel correlation analysis was used to analyze differences in protein levels between the HCCA, IHCC, and CCC groups. Univariate and multivariate analyses were used to determine independent predictors of successful resection and prognosis in the HCCA group. The protein levels of Wnt2, β-catenin, TCF4, c-Myc, and cyclin D1 were significantly higher in HCCA compared to IHHC or CCC. Wnt signaling activation (Wnt2+, Wnt3+, nuclear β-catenin+, nuclear TCF4+) was significantly greater in HCCA tissues than CCC tissues. Univariable analyses indicated that expression of cyclin D1 as well as Wnt signaling activation, and partial Wnt activation (Wnt2+ or Wnt3+ and nuclear β-catenin+ or nuclear TCF4+) predicted successful resection, but only cyclin D1 expression remained significant in multivariable analyses. Only partial Wnt activation was an independent predictor of survival time. Proteins in the canonical Wnt signaling pathway were present at higher levels in HCCA and correlated with tumor resecility and patient prognosis. These results suggest that Wnt pathway analysis may be a useful marker for clinical outcome in HCCA.

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Total Laparoscopic Roux-en-Y Cholangiojejunostomy for the Treatment of Biliary Disease

Abstract: Total laparoscopic Roux-en-Y cholangiojejunostomy may be a first choice for patients with biliary disease that requires biliary-jejunal anastomosis.

Cited by 21 publications

References 15 publications

Minimally invasive surgery for the management of major bile duct injury due to cholecystectomy

Minimally invasive surgery for the management of major bile duct injury due to cholecystectomy

Laparoscopic Choledochojejunostomy in Various Hepatobiliary and Pancreatic Surgeries: A Single Surgeon's Experience

Characterizing the activation of the Wnt signaling pathway in hilar cholangiocarcinoma using a tissue microarray approach

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