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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 | Cyanogenese bei den Gymnospermen 显示文摘 | Dijk B Wijs A Ruijgrok H | 1974 | Phytochemistry1974，13，： | 1 |
| 4 | 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 |
| 5 | PWM- switch modeling of DC-DC converters 显示文摘 | Van Dijk E Spruijt H J N O'Sullivan D M | 1995 | IEEE Transactions on Power Electronics1995，10，6： | 1 |
| 6 | Cause-specific survival for women diagnosed with cancer during preg- nancy or lactation: a registry-based cohort study显示文摘 | Stensheim H Moller B van Dijk T | 2009 | J Clin Oncol2009，27，1： | 1 |
| 7 | Effects of atorvastatin on fasting and postprandial complement component 3 response in familial combined hyperlipidemia显示文摘 | VERSEYDEN C MEIJSSEN S van DIJK H | 2003 | J Lipid Res2003，44，11： | 1 |
| 8 | Differential microorganism induced mannose-binding lectin activation 显示文摘 | Kuipers S Aerts PC Van Dijk H | 2003 | FEMS Immunol Med Microbiol2003，36，12： | 1 |
| 9 | 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 |
| 10 | Prestimulus oscillatory activity in the alpha band predicts visual discrimination ability显示文摘 | VAN DIJK H SCHOFFELEN J M OOSTENVELD R | 2008 | J Neurosci2008，28，8： | 1 |
| 11 | Characterization of the durable resistance to yellow rust in old winter wheat culti vars in the Netherlands显示文摘 | Dijk P Parlevliet J E Kema G H J | 1988 | Euphytica1988，38，2： | 1 |
| 12 | Modeling multiple regimes in the business cycle显示文摘 | Dijk D Franses P H | 1999 | Macroeconomic dynamics1999，3，03： | 1 |
| 13 | Avian de- fensins 显示文摘 | van Dijk A Veldhuizen E J Haagsman H P | 2008 | Veterinary Immunology and Immunopathology2008，124，1： | 1 |
| 14 | Smooth transition autoregressive models-A survey of recent developments显示文摘 | van Dijk D Tersvirta T Franses P H | 2002 | Econometric Reviews2002，，21： | 1 |
| 15 | Routine morphine infusion in preterm newborns who received ventilatory support:a randomized controlled trial 显示文摘 | Simons SH van Dijk M van Lingen RA Roofthooft D Duivenvoorden H J Jongeneel N | 2003 | JAMA2003，290，18： | 1 |
| 16 | Smooth transition autoregressive models -- A survey of recent developments 显示文摘 | Van Dijk D Terasvirta T Franses P H | 2002 | Econometric Reviews2002，21，： | 1 |
| 17 | Inorg Chem显示文摘 | Kolnaar J A Dijk G V Kooijman H | 1997 | 36:2 4331997，36，： | 1 |
| 18 | 显示文摘 | de With G van Dijk H J A | 1984 | Mater Res Bull1984，19，： | 1 |
| 19 | A Tentative Model for the Study of Organisational Designs and the Results of Internationalisation in Higher Education 显示文摘 | Van Dijk H Meijer K The Internationalisation Cube | 1997 | Higher Education Management1997，，1： | 1 |
| 20 | TGF-beta signalling from cell membrane to nucleus through SMAD proteins显示文摘 | Heldin C H Miyazono K ten Dijke P | 1997 | Nature1997，390，6659： | 1 |
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