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Related Experiment Video

Updated: Jun 25, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Laparoscopic choledochal cyst excision: lessons learned in our experience.

Nikunj K Chokshi1, Yigit S Guner, Arturo Aranda

  • 1Department of Pediatric Surgery, Childrens Hospital Los Angeles and Keck School of Medicine, University of Southern California, Los Angeles, California 90027, USA.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|February 7, 2009
PubMed
Summary

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Laparoscopic excision of choledochal cysts (CDC) is a safe and effective treatment for children. While preoperative pancreatitis can increase surgical difficulty, minimally invasive techniques offer good outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Choledochal cyst (CDC) is a rare congenital biliary tract anomaly.
  • Surgical management typically involves cyst excision and biliary-enteric reconstruction.
  • Minimally invasive laparoscopic techniques are increasingly reported for CDC management.

Purpose of the Study:

  • To report institutional experience with laparoscopic management of choledochal cysts in children.
  • To highlight key operative maneuvers for successful laparoscopic CDC excision.
  • To evaluate the safety and efficacy of laparoscopic CDC excision and Roux-en-Y hepaticojejunostomy.

Main Methods:

  • Retrospective review of 9 pediatric patients undergoing laparoscopic CDC excision and Roux-en-Y hepaticojejunostomy (Oct 2003 - Nov 2007).

Related Experiment Videos

Last Updated: Jun 25, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

  • Patients included 8 females and 1 male, with a median age of 4 years.
  • Cyst types were predominantly Type I (7) and Type IV (2) based on Todani's classification.

    • Main Results:

    • Six of 9 patients presented with preoperative pancreatitis.
    • Laparoscopic procedures were successful in 6 patients; 3 required conversion to laparotomy due to adhesions.
    • Postoperative complications included one bile leak requiring revision; 8 patients recovered uneventfully with average discharge at 6.1 days.

    Conclusions:

    • Laparoscopic resection of choledochal cysts with Roux-en-Y hepaticojejunostomy is a viable treatment option for pediatric patients.
    • Preoperative pancreatitis can increase technical challenges and conversion rates.
    • Minimally invasive approaches demonstrate good outcomes and recovery profiles.