作者: Chao Zheng , Chunbao Guo , Chengwei Yan , Kai Gao , Keying Zhang
DOI: 10.3389/FSURG.2021.641127
关键词: Cohort 、 Bile leakage 、 Surgery 、 Surgical repair 、 Intensive care unit 、 Pediatric population 、 Redo surgery 、 Odds ratio 、 Roux-en-Y anastomosis 、 Medicine
摘要: Background: The optimal bile leakage management strategy in the pediatric population following initial Roux-en-Y hepaticojejunostomy is still a matter of discussion today. Here, we assessed roles and surgical implementation on outcomes for patients with leakage. Materials Methods: A revised protocol restricted intervention was implemented at Chongqing Children's Hospital March 15, 2013 Sanxia April 20, 2013. We performed retrospective, historical control analysis to compare short- long-term using corresponding statistical methods. Results: There total 84 included analysis, including 46 pre-protocol group 38 post-protocol group. No differences demographic features were found between two groups. decrease redo surgeries cohort compared those (odds ratio [OR] = 4.48 [95% CI, 1.57-12.77]; p 0.003). Furthermore, less likely be associated intensive care unit (ICU) admission (OR 3.72 1.11-12.49]; 0.024) group, respectively. no mortality Conclusions: restrictive can effectively reduce rate surgery exhibited promising terms postoperative recovery hospitalization costs.