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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Laparoscopic repair for choledochal cyst: lessons learned from 190 cases
Liem Nguyen Thanh1, Pham D Hien, Le A Dung
1Department of Surgery, National Hospital of Pediatrics, Dong Da District, Hanoi, Vietnam. liemnhp@hotmail.com
Journal of Pediatric Surgery
|March 13, 2010
Summary
Laparoscopic repair of choledochal cysts (CCs) is safe and effective. This study details the technique and outcomes in 190 pediatric patients, showing low complication rates for this minimally invasive approach.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Choledochal cysts (CCs) are congenital bile duct dilatations requiring surgical intervention.
- Laparoscopic techniques offer potential advantages over open surgery for CC repair.
Purpose of the Study:
- To report the technical aspects, early outcomes, and lessons learned from laparoscopic repair of 190 choledochal cyst cases.
- To evaluate the safety and efficacy of the laparoscopic approach for pediatric choledochal cyst treatment.
Main Methods:
- A total of 190 pediatric patients underwent laparoscopic choledochal cyst excision.
- Procedures involved 4-port access, cystic duct division, liver elevation, cyst isolation and removal, and biliary-digestive reconstruction (hepaticoduodenostomy or hepaticojejunostomy).
Main Results:
- 190 patients (144 girls, 46 boys) aged 2 months to 16 years were treated.
- Common types included Todani I (106) and IV (84).
- No perioperative deaths occurred; 7 patients had anastomotic leakage (1 required reoperation). Cholangitis occurred in 2.4% of follow-up patients.
Conclusions:
- Laparoscopic repair of choledochal cysts is a safe and effective surgical option.
- The study highlights successful implementation and favorable early outcomes in a large pediatric cohort.