Laparoscopic choledochojejunostomy in various hepatobiliary and pancreatic surgeries: a single surgeon's experience

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Jun Suh Lee, Tae Ho Hong

Abstract

The aims of this study were to measure the learning curve for laparoscopic choledochojejunostomy (LCJ), to describe the technical tips and to report the follow-up data. The results of LCJ performed on 84 patients were analyzed. Patients were divided into eight groups, by surgical order. The plateau of the learning curve was defined as the period during which the operative time showed a dramatic decrease. The exact operative time was recorded using video analysis. Compared with the first three groups, the fourth group showed a significantly shorter LCJ time. The subsequent groups showed a plateau, indicating that there were no more significant changes in the LCJ time. After the plateau of the learning curve was reached, the average LCJ time was 27.4±4.7 minutes. Six cases of postoperative bile leakage occurred, with all occurring before the plateau of the learning curve was reached. Five of the 6 cases of bile leakage had a nondilated common bile duct. Even for a surgeon experienced in laparoscopic surgery, there is a steep learning curve for the performance of LCJ. With careful video review, education of the surgical team, and various technical tips, the learning curve can be shortened. After the learning curve, experienced sur...Continue Reading

References

Jan 1, 1996·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·A C de AlmeidaF J Aldeia
May 20, 1999·Seminars in Surgical Oncology·E G ChekanS Eubanks
May 29, 2000·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·M C TaylorB Langer
May 12, 2004·American Journal of Surgery·Robert W O'RourkePaul D Hansen
Aug 4, 2004·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ho-Seong Han, Nam-Joon Yi
Nov 28, 2006·Best Practice & Research. Clinical Gastroenterology·Djamila Boerma, Matthijs P Schwartz
Mar 13, 2010·Journal of Pediatric Surgery·Liem Nguyen ThanhTran N Son
Jan 6, 2011·Annals of Surgical Oncology·Andrew A GumbsJohn P Hoffman
Apr 14, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Naoto UrushiharaHiromu Miyake
Oct 4, 2011·Frontiers of Medicine·Yongjun ChenXiaoping Chen
Dec 8, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jagdish ChanderVinod K Ramteke
Feb 15, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yashodhan S KhajancheePaul D Hansen
Aug 22, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kazuhide Matsushima, David I Soybel
Jun 12, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jun Suh LeeDong Goo Kim
Jul 3, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Dexing ChenZhibo Zhang

❮ Previous
Next ❯

Citations

Aug 21, 2020·ANZ Journal of Surgery·Jie Zhang, Xiaofeng Ling

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.