Laparoscopic-assisted total cyst excision of choledochal cyst and Roux-en-Y hepatoenterostomy

Li, Long; Feng, Wang; Fu, Jianhua; Yu, Qian; Lv, Gang; Huang, Liuming; Yu, Lei; Jia, Jun; Wang, Ping

doi:10.1016/j.jpedsurg.2004.07.012

Cited by 95 publications

(50 citation statements)

References 11 publications

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“…1,2,5 In children, the main symptoms of a CDC are the presence of a mass, jaundice, and perforation. 2 However, with aging, the manifestation of a CDC can include stones, pancreatitis, and biliary tract cancer, including GB cancer.…”

Section: Resultsmentioning

confidence: 99%

“…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%

“…3 Laparoscopic CDC dissection and the hepaticojejunostomy are considered the most difficult steps of the procedure. 5 The group of Long Li advocates the use of suspension stitches together with cyst aspiration to aid the dissection. 5 In most series, the jejunojejunostomy is fashioned extracorporeally.…”

Section: Resultsmentioning

confidence: 99%

“…5 The group of Long Li advocates the use of suspension stitches together with cyst aspiration to aid the dissection. 5 In most series, the jejunojejunostomy is fashioned extracorporeally. 8 The main argument for performing an extracorporeal anastomosis is that it decreases the operative time.…”

Section: Resultsmentioning

confidence: 99%

“…In the laparoscopic literature, the rate of bile leak has ranged from 0 to o n l y 20%. 5,11,12 Ure and colleagues reported a case of early small bowel obstruction at the eighth postoperative day, which required a minilaparotomy. 13 Main late complications include cholangitis, anastomotic stricture, intrahepatic calculi, and bowel obstruction.…”

Section: Resultsmentioning

confidence: 99%

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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: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

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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Biliary Disease in Infants and Children

Superina¹

2006

Diseases of the Gallbladder and Bile Ducts

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In judicandus ye are a physician, in curando, a surgeon. The patient asks for cure -surgery -and not for theory -medicine -it is the doctor who needs the latter. That is: there can be no surgeon who is not also a physician; the latter begets the surgeon and the surgeon tests the physician by the result of his work. Paracelsus O B J EC T I V E S• Become familiar with the diagnostic approach to the child with jaundice • Understand the pathogenesis and treatment strategies used in children with biliary atresia • Classify and discuss the treatment strategies in children with choledochal cysts • List the varying types of progressive familial intrahepatic cholestasis (PFIC)

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Resection of Choledochal Cyst

Lawrence

Deans

2019

Operative Dictations in Pediatric Surgery

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Laparoscopic-assisted total cyst excision of choledochal cyst and Roux-en-Y hepatoenterostomy

Cited by 95 publications

References 11 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

Biliary Disease in Infants and Children

Resection of Choledochal Cyst

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