Related Experiment Video
Updated: Apr 3, 2026
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Laparoscopic and Laparoscopy-Assisted Resection of Enteric Duplication Cysts in Children
Wojciech Górecki1, Bartosz Bogusz1, Andrzej Zając1
1Department of Pediatric Surgery, University Children's Hospital, Jagiellonian University Medical College , Kraków, Poland .
Insights
Laparoscopic surgery offers a safe and effective way to treat ileal and ileocecal duplications in infants, avoiding the need for bowel resection. This minimally invasive approach confirms diagnosis and allows for precise cyst excision.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Minimally Invasive Surgery
Background:
- Enteric duplication (ED) cysts are rare congenital anomalies.
- Early diagnosis is facilitated by increased use of ultrasonography.
- Mini-invasive surgical treatment during infancy is often proposed.
Purpose of the Study:
- To evaluate the safety and feasibility of laparoscopic or laparoscopy-assisted resection of ileal (IL) and ileocecal (IC) duplications.
- To assess the efficacy of these techniques in avoiding bowel resection.
Main Methods:
- Retrospective review of 6 pediatric patients (3-22 months) with ED.
- Treatment period: January 2012 - September 2014.
- Focus on laparoscopic or laparoscopy-assisted cyst excision.
Main Results:
- Cyst excision without bowel resection was successful in five patients with IC and IL duplications.
- Laparoscopic excision was performed in two IC duplication cases.
- Laparoscopy-assisted excision without bowel resection was performed in three cases (1 IC, 2 IL).
- One patient with large IC duplication and malrotation required external resection.
- All patients had a satisfactory postoperative course.
Conclusions:
- Laparoscopic approach enables accurate diagnosis and precise localization of ED.
- Minimally invasive resection of ED without bowel resection is a safe and effective option for many IL and IC duplications.
- Laparoscopy-assisted techniques are valuable for treating these conditions.
Introduction:
Enteric duplication (ED) cysts are rare. The commonness of ultrasonographic investigation contributes to an earlier diagnosis of such a pathology before the onset of the first clinical symptoms. A planned mini-invasive surgical treatment during the infancy is proposed. This study presents the possibility and safety of elective laparoscopic or laparoscopy-assisted mini-invasive resection of ileal (IL) and ileocecal (IC) duplications, thus avoiding bowel resection.
Materials And Methods:
A retrospective review was conducted of medical records of 6 patients at the age from 3 to 22 months with the diagnosis of ED, treated in the Department of Pediatric Surgery, Jagiellonian University Medical College, Krakow, Poland, within the period from January 2012 to September 2014.
Results:
Excision of cysts without bowel resection was performed in five children with IC and IL duplications. Laparoscopic excision was performed in two children with IC duplication; in the other three children (1 IC and 2 IL duplication), laparoscopy confirmed the diagnosis with consecutive cyst excision without bowel resection after external evacuation of the cyst. The external resection of the cecum and Bauhin's valve was necessary in 1 patient with large IC duplication and malrotation. The postoperative course was satisfactory in all the cases.
Conclusions:
The laparoscopic approach allows for confirming the diagnosis and accurately defining the exact site of duplication, as well as for effective and safe mini-invasive treatment. Laparoscopic or laparoscopy-assisted excision of ED without bowel resection is a safe option in a significant number of IL and IC duplications.