Management of Type I Choledochal Cyst in Adult: Totally Laparoscopic Resection and Roux-en-Y Hepaticoenterostomy

Abstract

Totally, laparoscopic management of type I choledochal cysts, although technically challenging, is safe and feasible in experienced hands.

Choledochal Cysts: Presentation, Clinical Differentiation, and Management

“…145-148 Laparoscopic CC resection with RYHJ reconstruction has been shown to be safe with comparable outcomes to open resection in retrospective analyses. 148-157 Reported advantages of the laparoscopic approach include improved intraoperative visualization of deeper structures, decreased postoperative pain, shorter hospital stay, improved cosmetic result, and decreased postoperative ileus. 148,149,155,158 However, these cases remain reserved for highly specialized surgeons with a thorough understanding of hepatobiliary anatomy and minimally invasive techniques.…”

“…148,149,155,158 However, these cases remain reserved for highly specialized surgeons with a thorough understanding of hepatobiliary anatomy and minimally invasive techniques. 157 Finally, limited case series of robotic pediatric CC resection and reconstruction have been reported with acceptable outcomes, although more studies are needed before widespread acceptance and implementation of this technique. 147,159-161 …”

Total Laparoscopic Roux-en-Y Cholangiojejunostomy for the Treatment of Biliary Disease

“…In 2010, we reported total laparoscopic resection of a type I choledochal cyst in an adult and Roux-en-Y hepaticoenterostomy, with good effects. 17 …”

Laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy

“…Laparoscopic surgery is the usually performed method in pediatric patients. In adults, until today, more than 200 laparoscopic resections have been reported (Table 1), the majority within the last five years from Far Eastern countries (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Herein, laparoscopic excision of a type 1 common bile duct cyst and Roux-en-Y hepaticojejunostomy technique in a 37-year-old male patient is presented with an accompanying video-clip.…”