Early and Intermediate Outcomes of Laparoscopic Surgery for Choledochal Cysts with 400 Patients

Liêm, Nguyễn Thanh; Pham, Hien; Dung, Le Anh; Son, Tran Ngoc; Vu, Hoan Manh

doi:10.1089/lap.2012.0018

Cited by 109 publications

(94 citation statements)

References 22 publications

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“…The attitude of those who approach for the first time to this type of minimally invasive approach should be to take a leaf from the vast experience of high volume centers in Asia (for instance Liem and Li). 4,5 Laparoscopic excision of CDCs has been supposed to give better observation, a better cosmetic result, potentially less postoperative pain, and a shorter recovery. 8 Jang and colleagues described a four port technique in 2006.…”

Section: Resultsmentioning

confidence: 99%

“…1,2 Laparoscopic cyst excision and hepaticojejunostomy for children with CDC have become feasible and popular recently. 3,4 Taking in consideration scarcity of cases in Italy, we present our early experience with three cases of type I CDC, which were operated by laparoscopic cyst excision and hepaticojejunostomy with extracorporeal Roux-en-Y anastomosis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic treatment of congenital choledochal cyst and hepaticojejunostomy with extracorporeal Roux-en-Y anastomosis: technical aspects and early experience with three cases

et al. 2016

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Choledochal cyst (CDC) is a congenital dilatation of the extra and/or intrahepatic bile ducts and it is a rare condition in western countries. Classical treatment consists of cyst excision and hepaticojejunostomy. The first case of a laparoscopic CDC excision was described in 1995 and since that time an increasing number of institutions have adopted this technique, with good success. We describe our early experience of 3 cases of CDC treated with laparoscopic approach. We used a 10 mm umbilical port for the camera, and four 3-5 mm operative ports. We performed the laparoscopic removal of the cyst and gallbladder, videoassisted preparation of the Roux-en-Y loop and laparoscopic hepaticjejunostomy. No post-operative complications occurred. Laparoscopic excision of CDCs has been supposed to give better observation, a better cosmetic result, potentially less postoperative pain, and a shorter recovery. The main argument for performing an extracorporeal anastomosis is that it decreases the operative time. We recommend caution to prevent injury to the pancreatic duct and biliary structures during dissection and anastomosis. Lifelong surveillance is mandatory, even after resection of the choledochal cyst.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Laparoscopic treatment of congenital choledochal cyst and hepaticojejunostomy with extracorporeal Roux-en-Y anastomosis: technical aspects and early experience with three cases

et al. 2016

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“…However, the incidence is much higher in Asian populations, and a female predominance of around 4:1 is consistently found in most series. [2][3][4] There is no obvious hereditary element in most CMs, though a recent review identified 10 pairs of familial occurrence (siblings and offspring) in the literature. [5] Conversely, six pairs of monozygotic twins have been described in which a distinct CM appeared in only one pair.…”

Section: Epidemiologymentioning

confidence: 99%

“…This alludes to the increased centralisation of expertise in those countries and the effect of high-volume surgery. [4] Minimally invasive resection is an advanced technique requiring considerable dexterity. Other techniques have been used to try to improve the quality of the biliary anastomosis -the Achilles heel of the entire operation.…”

Section: Fig 4 a And B Type 1c Cm: Ree-month-old Girl With A Cyst mentioning

confidence: 99%

Controversies in choledochal malformation

Atkinson

Davenport

2014

S Afr Med J

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“…1,2 Choledochal cyst related complications include cholecystitis, cholangitis, pancreatitis, cholelithiasis, and perforation of the choledochal cyst. Furthermore, choledochal cysts can transform into biliary malignancies if not treated.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Choledochal Cyst Excision and Hepaticojejunostomy: A Case Series

Koo

Jung

Choi

2017

J Minim Invasive Surg

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Purpose: Choledochal cysts are congenital dilatations of the biliary tract and are generally surgically excised. Laparoscopic total excision of choledochal cysts and hepaticojejunal biliary tract reconstruction has gained acceptance among pediatric surgeons. We report our early experience with this procedure. Methods:From May 2013 to April 2016, 10 consecutive patients (7 females and 3 males) underwent laparoscopic choledochal cyst excision and hepaticojejunostomy at our center. We retrospectively reviewed their medical records for age, sex, clinical symptoms, Todani classification, anomalous pancreaticobiliary duct union, operative time, starting day for enteral feeding, complications, and hospital stay. Results:The median patient age was 22 months. Four patients were aged less than 6months, 3 of whom received prenatal diagnosis using ultrasonography. Patients presented with abdominal pain, jaundice, vomiting and fever. No abdominal mass was palpated in any patient. One patient was classified as Todani type Ia, 4 as Ic, and 5as IVa. Six patients had an anomalous pancreaticobiliary duct union. The mean operative time was 319.4 minutes. There were no surgery-related complications. Sips of water were allowed from mean postoperative day 2.4 and regular diet from mean postoperative day 3.4. The mean hospital stay was 6.5 days. Conclusion:Laparoscopic excision of choledochal cyst and hepaticojejunostomy in children is feasible with favorable cosmesis.

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Early and Intermediate Outcomes of Laparoscopic Surgery for Choledochal Cysts with 400 Patients

Abstract: Laparoscopic repair is a safe and effective procedure for choledochal cyst. The rate of cholangitis and anastomotic stenosis is low.

Cited by 109 publications

References 22 publications

Laparoscopic treatment of congenital choledochal cyst and hepaticojejunostomy with extracorporeal Roux-en-Y anastomosis: technical aspects and early experience with three cases

Laparoscopic treatment of congenital choledochal cyst and hepaticojejunostomy with extracorporeal Roux-en-Y anastomosis: technical aspects and early experience with three cases

Controversies in choledochal malformation

Laparoscopic Choledochal Cyst Excision and Hepaticojejunostomy: A Case Series

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