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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Technical points of total laparoscopic choledochal cyst excision.
Shao-cheng Lü1, Xian-jie Shi, Hong-guang Wang
1Department of Hepatobiliary Surgery, People' Liberation Army General Hospital, Beijing 100853, China.
Chinese Medical Journal
|March 16, 2013
Summary
Total laparoscopic choledochal cyst excision is a safe and effective treatment for choledochal cysts. This minimally invasive approach offers a feasible option with minimal complications.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Pediatric Surgery
Background:
- Choledochal cysts require surgical intervention, with excision and biliary enteric reconstruction being the standard treatment.
- Laparoscopic techniques are increasingly adopted for choledochal cyst management.
Purpose of the Study:
- To evaluate the safety and feasibility of total laparoscopic choledochal cyst excision.
- To assess the outcomes of laparoscopic choledochal cyst excision with Roux-en-Y hepatoenterostomy.
Main Methods:
- Retrospective analysis of clinical data from 34 patients undergoing total laparoscopic choledochal cyst excision.
- All patients underwent in vitro Roux-en-Y hepatoenterostomy between January 2007 and August 2011.
Main Results:
- Successful total laparoscopic choledochal cyst excision in all 34 patients.
- Operation time ranged from 200-360 minutes; hospital stay was 3-7 days.
- One patient experienced anastomotic stoma stricture; no other postoperative complications or deaths were reported.
Conclusions:
- Total laparoscopic choledochal cyst excision is a safe and feasible surgical option.
- The procedure demonstrates a low complication rate and favorable outcomes.