Strict Surgical Repair for Bile Leakage Following the Roux-en-Y Hepaticojejunostomy.

作者: Chao Zheng , Chunbao Guo , Chengwei Yan , Kai Gao , Keying Zhang

DOI: 10.3389/FSURG.2021.641127

关键词: CohortBile leakageSurgerySurgical repairIntensive care unitPediatric populationRedo surgeryOdds ratioRoux-en-Y anastomosisMedicine

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.

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