Laparoscopic resection of congenital choledochal cyst, hepaticojejunostomy, and externally made Roux-en-Y anastomosis

Ure, Benno M.; Nustede, R.; Becker, H

doi:10.1016/j.jpedsurg.2005.01.013

Cited by 29 publications

(21 citation statements)

References 11 publications

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“…It is preferable to resect the cyst in the first months of life to prevent cholangitis. 10 Recurrent cholangitis may result in difficult dissections and increase the risk of intraoperative complications.…”

Section: Resultsmentioning

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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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%

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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“…Laparoscopic techniques have evolved as standard procedures for various cholestatic diseases in children and adolescents [6,13,14]. We recently introduced a new laparoscopic technique of partial external biliary diversion and achieved excellent results in four children with PFIC [6].…”

Section: Discussionmentioning

confidence: 99%

Modified laparoscopic external biliary diversion for benign recurrent intrahepatic cholestasis in obese adolescents

et al. 2006

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Definitive medical treatment for benign recurrent intrahepatic cholestasis (BRIC) is not available and the significance of surgical treatment is a matter of debate. It has been postulated that BRIC may progress to progressive familial intrahepatic cholestasis (PFIC), which leads to liver insufficiency and cirrhosis. External biliary diversion represents an option for both conditions and we recently introduced a new laparoscopic technique for infants with PFIC. However, limited umbilical incision may interfere with creating a jejunal conduit by infraumbilical exteriorisation, in particular in obese adolescents. Therefore, we modified our technique by exteriorising a small bowel loop via the right midabdominal trocar incision at the position of the jejunostomy. The technique was used in a 17-year-old obese patient with BRIC. This is the first report on a patient with BRIC undergoing laparoscopic external biliary diversion.

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“…We previously reported our experience with laparoscopic resection of choledochal cyst and hepatico-or hepatojejunostomy [11,12]. As a consequence, we developed a technique of laparoscopic side-to-end cholecystojejunostomy for partial external biliary drainage procedure in infants with progressive familial intrahepatic cholestasis disease.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic partial external biliary diversion procedure in progressive familial intrahepatic cholestasis

et al. 2005

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Laparoscopic resection of congenital choledochal cyst, hepaticojejunostomy, and externally made Roux-en-Y anastomosis

Cited by 29 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

Modified laparoscopic external biliary diversion for benign recurrent intrahepatic cholestasis in obese adolescents

Laparoscopic partial external biliary diversion procedure in progressive familial intrahepatic cholestasis

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