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Related Experiment Video

Updated: May 12, 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

Technical note on complete excision of choledochal cysts.

Tan To Cheung1, Sheung Tat Fan

  • 1Department of Surgery, The University of Hong Kong, 102 Pokfulam Road, Hong Kong, China.

Hepatobiliary & Pancreatic Diseases International : HBPD INT
|April 6, 2013
PubMed
Summary

Reoperation successfully treated incomplete choledochal cyst excision. Precise imaging and careful planning ensured complete cyst removal, avoiding extensive surgery like the Whipple procedure.

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Area of Science:

  • Hepatobiliary surgery
  • Pediatric surgery
  • Surgical oncology

Background:

  • Choledochal cysts are congenital biliary dilatations requiring complete excision.
  • Incomplete excision can lead to complications, including malignant transformation.
  • Type-1 choledochal cysts near the pancreatic duct pose surgical challenges.

Observation:

  • A case of reoperation for incomplete choledochal cyst excision is presented.
  • The procedure involved meticulous dissection of the liver hilum and intact hepaticojejunostomy.
  • Intraoperative cholangiography guided the complete excision of the residual pancreatic portion.

Findings:

  • Complete excision of the residual choledochal cyst was achieved.
  • Reconstruction of the pancreatic opening and common bile duct was performed.

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Last Updated: May 12, 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 Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
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Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

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  • Whipple operation was successfully avoided.

    • Implications:

    • Careful preoperative imaging and intraoperative guidance are crucial for accurate choledochal cyst excision.
    • Reoperation can effectively manage incomplete excisions, preserving pancreatic and biliary function.
    • This approach offers a less invasive alternative to major pancreaticoduodenectomy in select cases.