Item type |
itemtype_ver1(1) |
公開日 |
2021-09-13 |
タイトル |
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タイトル |
Risk factors and outcomes of bile leak after laparoscopic surgery for congenital biliary dilatation |
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言語 |
en |
著者 |
Tanaka, Yujiro
Tainaka, Takahisa
Hinoki, Akinari
Shirota, Chiyoe
Sumida, Wataru
Yokota, Kazuki
Oshima, Kazuo
Makita, Satoshi
Amano, Hizuru
Takimoto, Aitaro
Kano, Yoko
Uchida, Hiroo
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アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
キーワード |
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主題Scheme |
Other |
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主題 |
Laparoscopic surgery |
キーワード |
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主題Scheme |
Other |
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主題 |
Congenital biliary dilatation |
キーワード |
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主題Scheme |
Other |
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主題 |
Early complication |
キーワード |
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主題Scheme |
Other |
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主題 |
Bile leak |
内容記述 |
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内容記述 |
Purpose: One of the main causes of stricture at hepaticojejunostomy site after surgery for congenital biliary dilatation is inflammation or infection associated with bile leak. The aim of this study was to determine the risk factors and outcomes of bile leak after laparoscopic surgery. Methods: We retrospectively reviewed the demographics and outcomes of patients who underwent laparoscopic surgery for congenital biliary dilatation between September 2013 and December 2019. Data from patients with bile leak were compared to data from patients without bile leak. Results: Fourteen of 78 patients had bile leak. Hepatic duct diameter at anastomosis was the only risk factor of bile leak. Patients with the diameter ≤ 10 mm had higher incidence of bile leak than in patients with the diameter > 10 mm (P = 0.0023). Among them, bile leak occurred more frequently in patients operated on by non-qualified surgeons based on the Japan Society for Endoscopic Surgery endoscopic surgical skill qualification system than by qualified surgeons (P = 0.027). However, none of the patients with bile leak developed anastomotic stricture afterwards. Conclusion: Although good technical skill is necessary to avoid bile leak in narrow hepatic duct cases (≤ 10 mm), slight bile leak may not result in anastomotic stricture. |
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言語 |
en |
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内容記述タイプ |
Abstract |
出版者 |
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言語 |
en |
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出版者 |
Springer |
言語 |
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言語 |
eng |
資源タイプ |
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資源タイプresource |
http://purl.org/coar/resource_type/c_6501 |
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タイプ |
journal article |
出版タイプ |
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出版タイプ |
AM |
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出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
関連情報 |
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関連タイプ |
isVersionOf |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1007/s00383-020-04791-0 |
収録物識別子 |
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収録物識別子タイプ |
PISSN |
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収録物識別子 |
0179-0358 |
書誌情報 |
en : Pediatric Surgery International
巻 37,
号 2,
p. 235-240,
発行日 2021-02
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ファイル公開日 |
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日付 |
2022-02-01 |
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日付タイプ |
Available |