Long-term outcome for children undergoing open hepatico-jejunostomy for choledochal malformations: a 43-year single-center experience.
Pediatr Surg Int
; 40(1): 36, 2024 Jan 19.
Article
in En
| MEDLINE
| ID: mdl-38240939
ABSTRACT
PURPOSE:
To report on our 43-year single-center experience with children operated on for Choledochal Malformations (CMs), focusing on long-term results and Quality of life (QoL). MATERIALS ANDMETHODS:
All consecutive pediatric patients with CMs who underwent surgical treatment at our center between October 1980 and December 2022 were enrolled in this retrospective study. We focused on long-term postoperative complications (POCs), considered to be complications arising at least 5 years after surgery. We analyzed QoL status once patients reached adulthood, comparing the results with a control group of the same age and sex.RESULTS:
One hundred and thirteen patients underwent open excision of CMs with a Roux-en-Y hepaticojejunostomy (HJ). The median follow-up was 8.95 years (IQR 3.74-24.41). Major long-term POCs occurred in six patients (8.9%), with a median presentation of 11 years after surgery. The oldest patient is currently 51. No cases of biliary malignancy were detected. The QoL of our patients was comparable with the control group.CONCLUSION:
Our experience suggests that open complete excision of CMs with HJ achieves excellent results in terms of long-term postoperative outcomes. However, since the most severe complications can occur many years after surgery, international cooperation is advisable to define a precise transitional care follow-up protocol.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Choledochal Cyst
/
Laparoscopy
Type of study:
Etiology_studies
/
Guideline
/
Observational_studies
Aspects:
Patient_preference
Limits:
Adult
/
Child
/
Humans
Language:
En
Journal:
Pediatr Surg Int
Journal subject:
PEDIATRIA
Year:
2024
Document type:
Article
Affiliation country:
Italy