Resección de quiste de colédoco más hepáticoduodeno anastomosis por videolaparoscopica en la ciudad de Barranquilla – Colombia durante el periodo 2012-2018

Los quistes de colédoco son anomalías congénitas del conducto biliar, corresponden a una dilatación quística del árbol biliar y pueden causar diversas complicaciones. La mayoría de los casos reportados en el mundo provienen de Asia, pero no es poco común en el mundo occidental, el manejo de los quis...

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Autores:
Bolaño Arrieta, Sebastian
Sarmiento Fontalvo, Ferney
Tipo de recurso:
Trabajo de grado de pregrado
Fecha de publicación:
2018
Institución:
Universidad Libre
Repositorio:
RIU - Repositorio Institucional UniLibre
Idioma:
spa
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oai:repository.unilibre.edu.co:10901/17731
Acceso en línea:
https://hdl.handle.net/10901/17731
Palabra clave:
Surgery
Gallbladder
Cholecystectomy
Laparoscopy
Cysts
Cirugía de la vesícula biliar
Colecistectomía laparoscopica
Quistes -- Cirugía
Cirugía
Vesícula biliar
Colecistectomía
Laparoscopia
Quistes
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openAccess
License
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
id RULIBRE2_b10a907e1cd423d904ad4c2afcec6a48
oai_identifier_str oai:repository.unilibre.edu.co:10901/17731
network_acronym_str RULIBRE2
network_name_str RIU - Repositorio Institucional UniLibre
repository_id_str
dc.title.spa.fl_str_mv Resección de quiste de colédoco más hepáticoduodeno anastomosis por videolaparoscopica en la ciudad de Barranquilla – Colombia durante el periodo 2012-2018
title Resección de quiste de colédoco más hepáticoduodeno anastomosis por videolaparoscopica en la ciudad de Barranquilla – Colombia durante el periodo 2012-2018
spellingShingle Resección de quiste de colédoco más hepáticoduodeno anastomosis por videolaparoscopica en la ciudad de Barranquilla – Colombia durante el periodo 2012-2018
Surgery
Gallbladder
Cholecystectomy
Laparoscopy
Cysts
Cirugía de la vesícula biliar
Colecistectomía laparoscopica
Quistes -- Cirugía
Cirugía
Vesícula biliar
Colecistectomía
Laparoscopia
Quistes
title_short Resección de quiste de colédoco más hepáticoduodeno anastomosis por videolaparoscopica en la ciudad de Barranquilla – Colombia durante el periodo 2012-2018
title_full Resección de quiste de colédoco más hepáticoduodeno anastomosis por videolaparoscopica en la ciudad de Barranquilla – Colombia durante el periodo 2012-2018
title_fullStr Resección de quiste de colédoco más hepáticoduodeno anastomosis por videolaparoscopica en la ciudad de Barranquilla – Colombia durante el periodo 2012-2018
title_full_unstemmed Resección de quiste de colédoco más hepáticoduodeno anastomosis por videolaparoscopica en la ciudad de Barranquilla – Colombia durante el periodo 2012-2018
title_sort Resección de quiste de colédoco más hepáticoduodeno anastomosis por videolaparoscopica en la ciudad de Barranquilla – Colombia durante el periodo 2012-2018
dc.creator.fl_str_mv Bolaño Arrieta, Sebastian
Sarmiento Fontalvo, Ferney
dc.contributor.advisor.none.fl_str_mv Abello Munarriz, Cristobal
Iglesias, Jesus E.
dc.contributor.author.none.fl_str_mv Bolaño Arrieta, Sebastian
Sarmiento Fontalvo, Ferney
dc.subject.subjectenglish.spa.fl_str_mv Surgery
Gallbladder
Cholecystectomy
Laparoscopy
Cysts
topic Surgery
Gallbladder
Cholecystectomy
Laparoscopy
Cysts
Cirugía de la vesícula biliar
Colecistectomía laparoscopica
Quistes -- Cirugía
Cirugía
Vesícula biliar
Colecistectomía
Laparoscopia
Quistes
dc.subject.lemb.spa.fl_str_mv Cirugía de la vesícula biliar
Colecistectomía laparoscopica
Quistes -- Cirugía
dc.subject.proposal.spa.fl_str_mv Cirugía
Vesícula biliar
Colecistectomía
Laparoscopia
Quistes
description Los quistes de colédoco son anomalías congénitas del conducto biliar, corresponden a una dilatación quística del árbol biliar y pueden causar diversas complicaciones. La mayoría de los casos reportados en el mundo provienen de Asia, pero no es poco común en el mundo occidental, el manejo de los quistes de colédoco ha evolucionado desde simples procedimientos de drenaje hasta la reconstrucción anastomótica bilioentérica más innovadora. La reconstrucción biliar ahora se realiza comúnmente por una de varias técnicas, incluida la hepaticoyeyunostomía (HJ) de Roux-en-Y, y la hepaticoduodenostomía (HD), siendo las técnicas mínimamente invasivas más aceptadas a nivel mundial. Se presenta un estudio descriptivo y retrospectivo, con el objetivo de caracterizar los pacientes, resultados quirúrgicos y morbimortalidad de la resección de quiste de colédoco más hepaticoduodeno anastomosis por videolaparoscopia en la ciudad de Barranquilla – Colombia en período de tiempo comprendido entre 20122018. Se concluye que la resección de quiste de coledoco más hepaticoduodeno anastomosis por videolaparoscopia es un procedimiento eficaz y seguro en el ámbito local; nuestra experiencia se asemeja a la descrita en la literatura internacional; demostrándose que los resultados en cuanto a morbimortalidad y estancia hospitalaria son similares a los encontrados mediantes otras técnicas quirúrgicas sin embargo se necesitan más estudios de corte similar para poder estandarizar dicho procedimiento como tratamiento de elección de esta patología, siendo una alternativa segura que puede ser generalizada y aplicada en nuestro país.
publishDate 2018
dc.date.created.none.fl_str_mv 2018
dc.date.accessioned.none.fl_str_mv 2020-01-13T16:55:21Z
dc.date.available.none.fl_str_mv 2020-01-13T16:55:21Z
dc.type.local.spa.fl_str_mv Tesis de Especialización
dc.type.hasversion.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/bachelorThesis
format http://purl.org/coar/resource_type/c_7a1f
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10901/17731
dc.identifier.instname.spa.fl_str_mv instname:Universidad Libre
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad Libre
url https://hdl.handle.net/10901/17731
identifier_str_mv instname:Universidad Libre
reponame:Repositorio Institucional Universidad Libre
dc.language.iso.none.fl_str_mv spa
language spa
dc.relation.references.spa.fl_str_mv Sarath Kumar Narayanan, Yong Chen, Kannan Laksmi Narasimhan, Ralph Clinton Cohen. Hepaticoduodenostomy versus hepaticojejunostomy after resection of choledochal cyst: A systematic review and meta-analysis, journal of pediatric surgery 2013; 48, 2336 – 2342.
Chinnusamy Palanivelu, Muthukumaran Rangarajan, Ramakrishnan Parthasarathi, Vennapusa Amar, Palanisamy Senthilnathan, Laparoscopic Management of Choledochal Cysts: Technique and Outcomes—A Retrospective Study of 35 Patients from a Tertiary Center, journal of the American college of surgery 2008; volume 7 pag 839- 846.
Kevin Soares, Dean Arnaoutakis, Ihab Kamel, Neda Rastegar, Robert Anders, Shishir Maithel, Timothy Pawlik Choledochal Cysts: Presentation, Clinical Differentiation, and Management, journal of the American college of surgery 2014; 1167 – 1180.
Huang CS, Huang CC, Chen DF. Choledochal cyst: differences between pediatric and adult pacients. Journal gastrointestinal surgery 2010; 14: 1105-1110. 5
Rozel C, Garel L, Rypens F, et al. imaging of biliary disorders in children. Pediatric radiology 2011; 41; 208- 220.
Lee SE, Jang JY, Lee YJ, et al. Choledochal cyst and associated malignant tumors in adult: a multicenter survey in south korea. Arch surg 2011; 146; 1178- 1184.
Hill R, Parson C, Farrant P, et al. Intrahepatic duct dilatation in type 4 choledochal malformation: pressure- related, postoperative resolution. Journal pediatric surgery 2011; 46; 299 – 303.
Ziegler KM, Zyromski NJ, Choledochoceles; are they choledochal cysts? Adv surg 2011; 45; 211 – 224.
Fitoz S, Erden A, Boruban S. Magnetic resonance cholangiopancreatography of biliary system abnormalities in children. Clin Imaging 2007;31:93e101.
Sacher VY, Davis JS, Sleeman D, Casillas J. Role of magnetic resonance cholangiopancreatography in diagnosing choledochal cysts: Case series and review. World J Radiol 2013;5:304e312.
Huang CT, Lee HC, Chen WT, et al. Usefulness of magnetic resonance cholangiopancreatography in pancreatobiliary abnormalities in pediatric patients. Pediatr Neonatol 2011;52:332e336. 12
Punia RP, Garg S, Bisht B, et al. Clinico-pathological spectrum of gallbladder disease in children. Acta Paediatr 2010; 99:1561e1564. 99. Sugandhi N, Agarwala S, Bhatnagar V, et al. Liver histology in choledochal cyst- pathological changes and response to surgery: the overlooked aspect? Pediatr Surg Int 2014;30: 205e211.
Zheng LX, Jia HB, Wu DQ, et al. Experience of congenital choledochal cyst in adults:treatment, surgical procedures and clinical outcome in the Second Affiliated Hospital of Harbin Medical University. J Korean Med Sci 2004;19:842e847.
Yonem O, Bayraktar Y. Clinical characteristics of Caroli’s syndrome. World J Gastroenterol 2007;13:1934e1937
Aishima S, Kubo Y, Tanaka Y, Oda Y. Histological features of precancerous and early cancerous lesions of biliary tract carcinoma. J Hepatobiliary Pancreat Sci 2014;21:448e452.
Liem NT, Pham HD, Dung le A, et al. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A 2012; 22:599e603.
Yamataka A, Lane GJ, Cazares J. Laparoscopic surgery for biliary atresia and choledochal cyst. Semin Pediatr Surg 2012;21:201e210. 147. Dawrant MJ, Najmaldin AS, Alizai NK. Robot-assisted resection of choledochal cysts 54 and hepaticojejunostomy in children less than 10 kg. J Pediatr Surg 2010;45:2364e2368.
Liuming H, Hongwu Z, Gang L, et al.The effect of laparoscopic excision vs open excision in children with choledochal cyst: a midterm follow-up study. J Pediatr Surg 2011;46:662e665.
Tang ST, Yang Y, Wang Y, et al. Laparoscopic choledochal cyst excision, hepaticojejunostomy, and extracorporeal Roux-en-Y anastomosis: a technical skill and intermediateterm report in 62 cases. Surg Endosc 2011;25:416e422.
Gander JW, Cowles RA, Gross ER, et al. Laparoscopic excision of choledochal cysts with total intracorporeal reconstruction. J Laparoendosc Adv Surg Tech A 2010;20:877e881.
Wang B, Feng Q, Mao JX, et al. Early experience with laparoscopic excision of choledochal cyst in 41 children. J Pediatr Surg 2012;47:2175e2178.
. Diao M, Li L, Cheng W. Laparoscopic versus open Roux-enY hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results. Surg Endosc 2011;25: 1567e1573
Mishra A, Pant N, Chadha R, et al. Choledochal cysts in infancy and childhood. Indian J Pediatr 2007 Oct;74(10):937-43.
Liem NT, Pham HD, Dung le A, et al. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A 2012;22(6):599-603
Mukhopadhyay B, Shukla RM, Mukhopadhyay M, et al. Choledochal cyst: a review of 79 cases and the role of hepaticodochoduodenostomy. J Indian Assoc Pediatr Surg 2011;16(2):54-7
Santore MT, Behar BJ, Blinman TA, et al. Hepaticoduodenostomy vs hepaticojejunostomy for reconstruction after resection of choledochal cyst. J Pediatr Surg 2011;46(1):209-13.
Vila-Carbó JJ, Lluna González J, Hernández Anselmi E, et al. Congenital choledochal cyst and laparoscopic techniques. Cir Pediatr 2007;20:129– 132.
Abbas HM, Yassin NA, Ammori BJ. Laparoscopic resection of type I choledochal cyst in an adult and Roux-en-Y hepaticojejunostomy: a case report and literature review. Surg Laparosc Endosc Percutan Tech 2006;16:439–444.
Srimurthy KR, Ramesh S. Laparoscopic management of pediatric choledochal cysts in developing countries: review of ten cases. Pediatr Surg Int 2006;2:144–149.
Laje P, Questa H, Bailez M. Laparoscopic leak-free technique for the treatment of choledochal cysts. J Laparoendosc Adv Surg Tech A 2007;17:519–521. 26.
Aspelund G, Ling SC, Ng V, Kim PC. A role for laparoscopic approach in the treatment of biliary atresia and choledochal cysts. J Pediatr Surg 2007;42:869–872.
Chang EY, Hong YJ, Chang HK, et al. Lessons and tips from the experience of pediatric robotic choledochal cyst resection. J Laparoendosc Adv Surg Tech A 2012;22:609e614. 160. Akaraviputh T, Trakarnsanga A, Suksamanapun N. Robotassisted complete excision of choledochal cyst type I, hepaticojejunostomy and extracorporeal Roux-en-y anastomosis: a case report and review literature. World J Surg Oncol 2010;8:87.
Kang CM, Chi HS, Kim JY, et al. A case of robot-assisted excision of choledochal cyst, hepaticojejunostomy, and extracorporeal Roux-en-y anastomosis using the da Vinci surgical system. Surg Laparosc Endosc Percutan Tech 2007;17: 538e541
Woon CY, Tan YM, Oei CL, et al. Adult choledochal cysts: an audit of surgical management. ANZ J Surg 2006;76: 981e986
M. Sica*, F. Molinaro, R. Angotti, E. Bindi, E. Brandigi, M. Messina, Choledochal cyst: Early experience by laparoscopic approach, Journal of Pediatric Surgery 2016 ; 11; 4-6.
Kim NY, Chang EY, Hong YJ, Park S, Kim HY, Bai SJ, et al. Retrospective Assessment of the validity of robotic surgery in comparison to open surgery for pediatric choledochal cyst. Yonsei Med J 2015 May;56(3):737e43
Lee JH, Kim SH, Kim HY, Choi YH, Jung SE, Park KW. Early experience of laparoscopic choledochal cyst excision in children. J Korean Surg Soc 2013 Nov;85:225e9
Liu SL, Li L, Hou WY, Zhang J, Huang LM, Li X, et al. Laparoscopic excision of choledochal cyst and Roux-en-Y hepaticojejunostomy in symptomatic neonates. J Pediatr Surg 2009;44:508e11.
Diao M, Li Long, Cheng W. Role of laparoscopy in treatment of choledochal cysts in children. Pediatr Surg Int 2013;29:317e26
Besner GE. Pediatric choledochal cyst surgery: background, epidemiology, pathophysiology, surgery and pediatrics; 2015 Nov. p. 1e7. emedicine
Congo K, Lopes MF, Oliviera PH, Matos H, Basso S, Reis A. Outcomes of choledochal cysts with or without intrahepatic involvement in children after extrahepatic cyst excision and Roux-en-Y hepaticojejunostomy. Ann Hepatol 2012;11(4):536e43
Soares KC, Arnaoutakis DJ, Kamel I, Rastegar N, Anders R, Maithel S, et al. Chledochal cysts: presentation, clinical differentiation and management. J Am Coll Surg 2014 Dec;219(6):1167e80
Cherqaoui A, Haddad M, Roman C, Gorincour G, Marti JY, Bonnard A, et al. Management of choledochal cyst: evolution with antenatal diagnosis and laparoscopic approach. J Minim Access Surg 2012 Oct;8(4):129e33
Nhu Thao Nguyen Galván∗, Kayla Kumm, Dor Yoeli, Ellen Witte, Michael Kueht, Ronald Timothy Cotton, Abbas Rana, Christine A. O’Mahony, John A. Goss, An impressive choledochal cyst and its surgical resection, International Journal of Surgery 2017; 48 – 50.
M.A. Moslim, H. Takahashi, F.G. Seifarth, R.M. Walsh, G. Morris-Stiff, Choledochal cyst disease in a western center: a 30-year experience, J. Gastrointest. Surg. 20 (August (8)) (2016) 1453–1463
K. Soreide, J.A. Soreide, Bile duct cyst as precursor to biliary tract cancer, Ann. Surg. Oncol. 14 (3) (2007) 1200–1211
S.M. Ronnekleiv-Kelly, K.C. Soares, A. Ejaz, T.M. Pawlik, Management of choledochal cysts, Curr. Opin. Gastroenterol. (2016) (Ahead of print).
K.C. Soares, Y. Kim, G. Spolverato, et al., Presentation and clinical outcomes of ’choledochal cysts in children and adults: a multi-institutional analysis, JAMA Surg. 150 (2015) 577–584.
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spelling Abello Munarriz, CristobalIglesias, Jesus E.Bolaño Arrieta, SebastianSarmiento Fontalvo, FerneyBarranquilla2020-01-13T16:55:21Z2020-01-13T16:55:21Z2018https://hdl.handle.net/10901/17731instname:Universidad Librereponame:Repositorio Institucional Universidad LibreLos quistes de colédoco son anomalías congénitas del conducto biliar, corresponden a una dilatación quística del árbol biliar y pueden causar diversas complicaciones. La mayoría de los casos reportados en el mundo provienen de Asia, pero no es poco común en el mundo occidental, el manejo de los quistes de colédoco ha evolucionado desde simples procedimientos de drenaje hasta la reconstrucción anastomótica bilioentérica más innovadora. La reconstrucción biliar ahora se realiza comúnmente por una de varias técnicas, incluida la hepaticoyeyunostomía (HJ) de Roux-en-Y, y la hepaticoduodenostomía (HD), siendo las técnicas mínimamente invasivas más aceptadas a nivel mundial. Se presenta un estudio descriptivo y retrospectivo, con el objetivo de caracterizar los pacientes, resultados quirúrgicos y morbimortalidad de la resección de quiste de colédoco más hepaticoduodeno anastomosis por videolaparoscopia en la ciudad de Barranquilla – Colombia en período de tiempo comprendido entre 20122018. Se concluye que la resección de quiste de coledoco más hepaticoduodeno anastomosis por videolaparoscopia es un procedimiento eficaz y seguro en el ámbito local; nuestra experiencia se asemeja a la descrita en la literatura internacional; demostrándose que los resultados en cuanto a morbimortalidad y estancia hospitalaria son similares a los encontrados mediantes otras técnicas quirúrgicas sin embargo se necesitan más estudios de corte similar para poder estandarizar dicho procedimiento como tratamiento de elección de esta patología, siendo una alternativa segura que puede ser generalizada y aplicada en nuestro país.Choledochal cysts are congenital anomalies of the bile duct, correspond to a cystic dilation of the biliary tree and can cause various complications. Most of the cases reported in the world come from Asia, but it is not uncommon in the western world, the management of choledochal cysts has evolved from simple drainage procedures to the most innovative bilioenteric anastomotic reconstruction. Biliary reconstruction is now commonly performed by one of several techniques, including Roux-en-Y hepaticojejunostomy (HJ), and hepaticoduodenostomy (HD), being the most commonly accepted minimally invasive techniques worldwide. A descriptive and retrospective study is presented, with the objective of characterizing the patients, surgical results and morbidity and mortality of the choledochal cyst resection plus hepaticoduodenal anastomosis by videolaparoscopy in the city of Barranquilla - Colombia in a period between 20122018. It is concluded that Resection of choledochal cyst plus hepaticoduodenum anastomosis by videolaparoscopy is an effective and safe procedure at the local level; our experience resembles that described in international literature; demonstrating that the results regarding morbidity and mortality and hospital stay are similar to those found through other surgical techniques, however, more similar studies are needed to be able to standardize said procedure as a treatment of choice for this pathology, being a safe alternative that can be generalized and applied in our country.PDFapplication/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Atribución-NoComercial-SinDerivadas 2.5 Colombiainfo:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Resección de quiste de colédoco más hepáticoduodeno anastomosis por videolaparoscopica en la ciudad de Barranquilla – Colombia durante el periodo 2012-2018SurgeryGallbladderCholecystectomyLaparoscopyCystsCirugía de la vesícula biliarColecistectomía laparoscopicaQuistes -- CirugíaCirugíaVesícula biliarColecistectomíaLaparoscopiaQuistesTesis de Especializacióninfo:eu-repo/semantics/acceptedVersionhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisSarath Kumar Narayanan, Yong Chen, Kannan Laksmi Narasimhan, Ralph Clinton Cohen. Hepaticoduodenostomy versus hepaticojejunostomy after resection of choledochal cyst: A systematic review and meta-analysis, journal of pediatric surgery 2013; 48, 2336 – 2342.Chinnusamy Palanivelu, Muthukumaran Rangarajan, Ramakrishnan Parthasarathi, Vennapusa Amar, Palanisamy Senthilnathan, Laparoscopic Management of Choledochal Cysts: Technique and Outcomes—A Retrospective Study of 35 Patients from a Tertiary Center, journal of the American college of surgery 2008; volume 7 pag 839- 846.Kevin Soares, Dean Arnaoutakis, Ihab Kamel, Neda Rastegar, Robert Anders, Shishir Maithel, Timothy Pawlik Choledochal Cysts: Presentation, Clinical Differentiation, and Management, journal of the American college of surgery 2014; 1167 – 1180.Huang CS, Huang CC, Chen DF. Choledochal cyst: differences between pediatric and adult pacients. Journal gastrointestinal surgery 2010; 14: 1105-1110. 5Rozel C, Garel L, Rypens F, et al. imaging of biliary disorders in children. Pediatric radiology 2011; 41; 208- 220.Lee SE, Jang JY, Lee YJ, et al. Choledochal cyst and associated malignant tumors in adult: a multicenter survey in south korea. Arch surg 2011; 146; 1178- 1184.Hill R, Parson C, Farrant P, et al. Intrahepatic duct dilatation in type 4 choledochal malformation: pressure- related, postoperative resolution. Journal pediatric surgery 2011; 46; 299 – 303.Ziegler KM, Zyromski NJ, Choledochoceles; are they choledochal cysts? Adv surg 2011; 45; 211 – 224.Fitoz S, Erden A, Boruban S. Magnetic resonance cholangiopancreatography of biliary system abnormalities in children. Clin Imaging 2007;31:93e101.Sacher VY, Davis JS, Sleeman D, Casillas J. Role of magnetic resonance cholangiopancreatography in diagnosing choledochal cysts: Case series and review. World J Radiol 2013;5:304e312.Huang CT, Lee HC, Chen WT, et al. Usefulness of magnetic resonance cholangiopancreatography in pancreatobiliary abnormalities in pediatric patients. Pediatr Neonatol 2011;52:332e336. 12Punia RP, Garg S, Bisht B, et al. Clinico-pathological spectrum of gallbladder disease in children. Acta Paediatr 2010; 99:1561e1564. 99. Sugandhi N, Agarwala S, Bhatnagar V, et al. Liver histology in choledochal cyst- pathological changes and response to surgery: the overlooked aspect? Pediatr Surg Int 2014;30: 205e211.Zheng LX, Jia HB, Wu DQ, et al. Experience of congenital choledochal cyst in adults:treatment, surgical procedures and clinical outcome in the Second Affiliated Hospital of Harbin Medical University. J Korean Med Sci 2004;19:842e847.Yonem O, Bayraktar Y. Clinical characteristics of Caroli’s syndrome. World J Gastroenterol 2007;13:1934e1937Aishima S, Kubo Y, Tanaka Y, Oda Y. Histological features of precancerous and early cancerous lesions of biliary tract carcinoma. J Hepatobiliary Pancreat Sci 2014;21:448e452.Liem NT, Pham HD, Dung le A, et al. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A 2012; 22:599e603.Yamataka A, Lane GJ, Cazares J. Laparoscopic surgery for biliary atresia and choledochal cyst. Semin Pediatr Surg 2012;21:201e210. 147. Dawrant MJ, Najmaldin AS, Alizai NK. Robot-assisted resection of choledochal cysts 54 and hepaticojejunostomy in children less than 10 kg. J Pediatr Surg 2010;45:2364e2368.Liuming H, Hongwu Z, Gang L, et al.The effect of laparoscopic excision vs open excision in children with choledochal cyst: a midterm follow-up study. J Pediatr Surg 2011;46:662e665.Tang ST, Yang Y, Wang Y, et al. Laparoscopic choledochal cyst excision, hepaticojejunostomy, and extracorporeal Roux-en-Y anastomosis: a technical skill and intermediateterm report in 62 cases. Surg Endosc 2011;25:416e422.Gander JW, Cowles RA, Gross ER, et al. Laparoscopic excision of choledochal cysts with total intracorporeal reconstruction. J Laparoendosc Adv Surg Tech A 2010;20:877e881.Wang B, Feng Q, Mao JX, et al. Early experience with laparoscopic excision of choledochal cyst in 41 children. J Pediatr Surg 2012;47:2175e2178.. Diao M, Li L, Cheng W. Laparoscopic versus open Roux-enY hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results. Surg Endosc 2011;25: 1567e1573Mishra A, Pant N, Chadha R, et al. Choledochal cysts in infancy and childhood. Indian J Pediatr 2007 Oct;74(10):937-43.Liem NT, Pham HD, Dung le A, et al. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A 2012;22(6):599-603Mukhopadhyay B, Shukla RM, Mukhopadhyay M, et al. Choledochal cyst: a review of 79 cases and the role of hepaticodochoduodenostomy. J Indian Assoc Pediatr Surg 2011;16(2):54-7Santore MT, Behar BJ, Blinman TA, et al. Hepaticoduodenostomy vs hepaticojejunostomy for reconstruction after resection of choledochal cyst. 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Spolverato, et al., Presentation and clinical outcomes of ’choledochal cysts in children and adults: a multi-institutional analysis, JAMA Surg. 150 (2015) 577–584.THUMBNAILTesis.pdf.jpgTesis.pdf.jpgIM Thumbnailimage/jpeg11089http://repository.unilibre.edu.co/bitstream/10901/17731/3/Tesis.pdf.jpgcbf32d6bdde23428672aa193dc0f1d31MD53LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://repository.unilibre.edu.co/bitstream/10901/17731/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52ORIGINALTesis.pdfTesis.pdfapplication/pdf1026922http://repository.unilibre.edu.co/bitstream/10901/17731/1/Tesis.pdfda9cad35c7c86a97c16ae1050f7c4a0bMD5110901/17731oai:repository.unilibre.edu.co:10901/177312022-10-11 12:08:25.516Repositorio Institucional Unilibrerepositorio@unilibrebog.edu.coTk9URTogUExBQ0UgWU9VUiBPV04gTElDRU5TRSBIRVJFClRoaXMgc2FtcGxlIGxpY2Vuc2UgaXMgcHJvdmlkZWQgZm9yIGluZm9ybWF0aW9uYWwgcHVycG9zZXMgb25seS4KCk5PTi1FWENMVVNJVkUgRElTVFJJQlVUSU9OIExJQ0VOU0UKCkJ5IHNpZ25pbmcgYW5kIHN1Ym1pdHRpbmcgdGhpcyBsaWNlbnNlLCB5b3UgKHRoZSBhdXRob3Iocykgb3IgY29weXJpZ2h0Cm93bmVyKSBncmFudHMgdG8gRFNwYWNlIFVuaXZlcnNpdHkgKERTVSkgdGhlIG5vbi1leGNsdXNpdmUgcmlnaHQgdG8gcmVwcm9kdWNlLAp0cmFuc2xhdGUgKGFzIGRlZmluZWQgYmVsb3cpLCBhbmQvb3IgZGlzdHJpYnV0ZSB5b3VyIHN1Ym1pc3Npb24gKGluY2x1ZGluZwp0aGUgYWJzdHJhY3QpIHdvcmxkd2lkZSBpbiBwcmludCBhbmQgZWxlY3Ryb25pYyBmb3JtYXQgYW5kIGluIGFueSBtZWRpdW0sCmluY2x1ZGluZyBidXQgbm90IGxpbWl0ZWQgdG8gYXVkaW8gb3IgdmlkZW8uCgpZb3UgYWdyZWUgdGhhdCBEU1UgbWF5LCB3aXRob3V0IGNoYW5naW5nIHRoZSBjb250ZW50LCB0cmFuc2xhdGUgdGhlCnN1Ym1pc3Npb24gdG8gYW55IG1lZGl1bSBvciBmb3JtYXQgZm9yIHRoZSBwdXJwb3NlIG9mIHByZXNlcnZhdGlvbi4KCllvdSBhbHNvIGFncmVlIHRoYXQgRFNVIG1heSBrZWVwIG1vcmUgdGhhbiBvbmUgY29weSBvZiB0aGlzIHN1Ym1pc3Npb24gZm9yCnB1cnBvc2VzIG9mIHNlY3VyaXR5LCBiYWNrLXVwIGFuZCBwcmVzZXJ2YXRpb24uCgpZb3UgcmVwcmVzZW50IHRoYXQgdGhlIHN1Ym1pc3Npb24gaXMgeW91ciBvcmlnaW5hbCB3b3JrLCBhbmQgdGhhdCB5b3UgaGF2ZQp0aGUgcmlnaHQgdG8gZ3JhbnQgdGhlIHJpZ2h0cyBjb250YWluZWQgaW4gdGhpcyBsaWNlbnNlLiBZb3UgYWxzbyByZXByZXNlbnQKdGhhdCB5b3VyIHN1Ym1pc3Npb24gZG9lcyBub3QsIHRvIHRoZSBiZXN0IG9mIHlvdXIga25vd2xlZGdlLCBpbmZyaW5nZSB1cG9uCmFueW9uZSdzIGNvcHlyaWdodC4KCklmIHRoZSBzdWJtaXNzaW9uIGNvbnRhaW5zIG1hdGVyaWFsIGZvciB3aGljaCB5b3UgZG8gbm90IGhvbGQgY29weXJpZ2h0LAp5b3UgcmVwcmVzZW50IHRoYXQgeW91IGhhdmUgb2J0YWluZWQgdGhlIHVucmVzdHJpY3RlZCBwZXJtaXNzaW9uIG9mIHRoZQpjb3B5cmlnaHQgb3duZXIgdG8gZ3JhbnQgRFNVIHRoZSByaWdodHMgcmVxdWlyZWQgYnkgdGhpcyBsaWNlbnNlLCBhbmQgdGhhdApzdWNoIHRoaXJkLXBhcnR5IG93bmVkIG1hdGVyaWFsIGlzIGNsZWFybHkgaWRlbnRpZmllZCBhbmQgYWNrbm93bGVkZ2VkCndpdGhpbiB0aGUgdGV4dCBvciBjb250ZW50IG9mIHRoZSBzdWJtaXNzaW9uLgoKSUYgVEhFIFNVQk1JU1NJT04gSVMgQkFTRUQgVVBPTiBXT1JLIFRIQVQgSEFTIEJFRU4gU1BPTlNPUkVEIE9SIFNVUFBPUlRFRApCWSBBTiBBR0VOQ1kgT1IgT1JHQU5JWkFUSU9OIE9USEVSIFRIQU4gRFNVLCBZT1UgUkVQUkVTRU5UIFRIQVQgWU9VIEhBVkUKRlVMRklMTEVEIEFOWSBSSUdIVCBPRiBSRVZJRVcgT1IgT1RIRVIgT0JMSUdBVElPTlMgUkVRVUlSRUQgQlkgU1VDSApDT05UUkFDVCBPUiBBR1JFRU1FTlQuCgpEU1Ugd2lsbCBjbGVhcmx5IGlkZW50aWZ5IHlvdXIgbmFtZShzKSBhcyB0aGUgYXV0aG9yKHMpIG9yIG93bmVyKHMpIG9mIHRoZQpzdWJtaXNzaW9uLCBhbmQgd2lsbCBub3QgbWFrZSBhbnkgYWx0ZXJhdGlvbiwgb3RoZXIgdGhhbiBhcyBhbGxvd2VkIGJ5IHRoaXMKbGljZW5zZSwgdG8geW91ciBzdWJtaXNzaW9uLgo=

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