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| 1 | Bile leakage after loop closure vs clip closure of the cystic duct during laparoscopic cholecystectomy:A retrospective analysis of a prospective cohort显示文摘BACKGROUND Laparoscopic cholecystectomy(LC)is one of the most frequently performed surgical procedures.Cystic stump leakage is an underestimated,potentially life threatening complication that occurs in 1%-6%of the patients.With a secure cystic duct occlusion technique during LC,bile leakage becomes a preventable complication.AIM To investigate the effect of polydioxanone(PDS)loop closure of the cystic duct on bile leakage rate in LC patients.METHODS In this retrospective analysis of a prospective cohort,the effect of PDS loop closure of the cystic duct on bile leakage complication was compared to patients with conventional clip closure.Logistic regression analysis was used to develop a risk score to identify bile leakage risk.Leakage rate was assessed for categories of patients with increasing levels of bile leakage risk.RESULTS Of the 4359 patients who underwent LC,136(3%)underwent cystic duct closure by a PDS loop.Preoperatively,loop closure patients had significantly more complicated biliary disease compared to the clipped closure patients.In the loop closure cohort,zero(0%)bile leakage occurred compared to 59 of 4223(1.4%)clip closure patients.For patients at increased bile leakage risk(risk score≥1)rates were 1.6%and up to 13%(4/30)for clip closure patients with a risk score≥4.This risk increase paralleled a stepwise increase of actual bile leakage complication for clip closure patients,which was not observed for loop closure patients.CONCLUSION Cystic duct closure with a PDS loop during LC may reduce bile leakage in patients at increased risk for bile leakage. | Sandra C Donkervoort Lea M Dijksman Aafke H van Dijk Emile A Clous Marja A Boermeester Bert van Ramshorst Djamila Boerma | 2020 | World Journal of Gastrointestinal Surgery2020，12，1： | 4 |
| 2 | Systematic review of cystic duct closure techniques in relation to prevention of bile duct leakage after laparoscopic cholecystectomy显示文摘AIM To study the effect of different techniques of cystic duct closure on bile leakage after laparoscopic cholecystectomy(LC) for biliary disease.METHODS A systematic search of MEDLINE, Cochrane and EMBASE was performed. Rate of cystic duct leakage(CDL) was the primary outcome. Risk of bias was evaluated. Odds ratios were analyzed for comparison of techniques and pooled event rates for non-comparative analyses. Pooled event rates were compared for each of included techniques.RESULTS Out of 1491 articles, 38 studies were included. A total of 47491 patients were included, of which 38683(81.5%)underwent cystic duct closure with non-locking(metal)clips. All studies were of low-moderate methodological quality. Only two studies reported separate data on uncomplicated and complicated gallbladder disease. For overall CDL, an odds ratio of 0.4(95%CI: 0.06-2.48)was found for harmonic energy vs clip closure and an odds ratio of 0.17(95%CI: 0.03-0.93) for locking vs non-locking clips. Pooled CDL rate was around 1% for harmonic energy and metal clips, and 0% for locking clips and ligatures. CONCLUSION Based on available evidence it is not possible to either recommend or discourage any of the techniques for cystic duct closure during LC with respects to CDL,although data point out a slight preference for locking clips and ligatures vs other techniques. No separate recommendation can be made for complicated gallbladder disease. | Aafke H van Dijk Stijn van Roessel Philip R de Reuver Djamila Boerma Marja A Boermeester Sandra C Donkervoort | 2018 | World Journal of Gastrointestinal Surgery2018，10，6： | 3 |
| 3 | The dissolution of Na2O-MgO-CaO-SiO2 glass in aqueous HF solutions 显示文摘 | SPIERINGS G A C M van DIJK J | 1987 | J Mater Sci1987，22，： | 2 |
| 4 | The contribution of phytoplankton degradation to chromophoric dissolved organic matter (CDOM) in eutrophic shallow lakes: field and experimental evidence 显示文摘 | Zhang Y L van Dijk M A Liu M L | 2009 | Water Research2009，43，： | 1 |
| 5 | Human antibodies as next generation therapeutics显示文摘 | van Dijk M A van de Winkel J G J | 2001 | Curr Opin Chem Biol2001，5，4： | 1 |
| 6 | Cyanogenese bei den Gymnospermen 显示文摘 | Dijk B Wijs A Ruijgrok H | 1974 | Phytochemistry1974，13，： | 1 |
| 7 | Thermal stability of retained austenite in TRIP steels studied by synchrotron X-ray diffraction during cooling显示文摘 | Van Dijk N H Butt A M | 2005 | Acta Materialia2005，53，： | 1 |
| 8 | Maternal segregation of the Dutch preeclampsia locus at lOq22 with a new member of the winged helix gene family显示文摘 | van Dijk M Mulders 1 Poutsma A | 2005 | Nat Genet2005，37，5： | 1 |
| 9 | Third-harmonic gener- ation from single gold nanoparticles 显示文摘 | LIPPITZ M VAN DIJK M A ORRIT M | 2005 | Nano Lett2005，5，4： | 1 |
| 10 | Sketch input for conceptual surface design显示文摘 | Van Dijk C G C Mayer A A C | 1997 | Computer in Industry1997，34，12： | 1 |
| 11 | High levels of myeloid-relatedprotein 14 in human atherosclerotic plaques correlate with the char-acteristics of rupture-prone lesions显示文摘 | Ionita MG Vink A Dijke IE | 2009 | Arterioscler Thromb VascBiol2009，29，8： | 1 |
| 12 | Transcriptional repression by Oshox1,a novel homeodomain leucine zipper protein from rice显示文摘 | Meijer A H Scarpella E Van Dijk E L | 1997 | Plant J1997，11，： | 1 |
| 13 | The contribution of phytoplankton degradation to chromophoric dissolved organic matter(CDOM)in eutrophic shallow lakes:field and experimental evidence显示文摘 | ZHANG Y L VAN DIJK M A LIU M L | 2009 | Water Research2009，43，： | 1 |
| 14 | Associations of metabolic variables with arterial stiffness in type 2 diabeies mellitus: focus on insulin sensitivity and postprandial triglyceridaemia显示文摘 | van Dijk R A Bakker S J Scheffer P G | 2003 | Eur J Clin Invest2003，33，4： | 1 |
| 15 | Assignment of the Smad 7 gene (MADH 7) to human chromosome 18q21.1 by fluorescence in situ hybridization显示文摘 | Roijer E Moren A ten Dijke P | | 0，，： | 1 |
| 16 | High-reso-lution ultrasonography of the cutaneous nerve branches inthe hand and wrist 显示文摘 | Stokvis A Van Neck JW Van Dijke CF | 2009 | J Hand Surg Eur Vol2009，34，6： | 1 |
| 17 | The effect of blends of organic acids on apparent faecal di- gestibility in piglets 显示文摘 | GERRITSEN R VAN DIJK A J RETHY K | 2010 | Livestock Science2010，134，123： | 1 |
| 18 | Real-time surveillance for respiratory disease outbreaks, Ontario, Canada 显示文摘 | Van Dijk A Aramini J Edge G | 2009 | Emerg Infect Dis2009，15，5： | 1 |
| 19 | Donor pretreatment with carbamylated erythropoietin in a brain death model reduces inflammationmore effectively than erythropoietin while preserving renalfunction显示文摘 | Nijboer WN Ottens PJ van Dijk A | 2010 | Crit Care Med2010，38，4： | 1 |
| 20 | Time to wake-up:sleep problems and daytime sleepiness in long-term stroke survivors 显示文摘 | Sterr A Herron K Dijk D J | 2014 | Brain Inj2014，22，7： | 1 |
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