Single-incision laparoscopic hepaticojejunostomy for children with perforated choledochal cysts

Related Experiment Video

Updated: Feb 15, 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

881

Mei Diao1, Long Li2, Wei Cheng3,4,5

  • 1Department of Pediatric Surgery, Capital Institute of Pediatrics, Beijing, 100020, People's Republic of China.

Surgical Endoscopy
|January 18, 2018
PubMed

Insights

Single-incision laparoscopic hepaticojejunostomy (SILH) is a safe and effective treatment for children with perforated choledochal cysts (CDCs). This minimally invasive approach offers good outcomes in experienced surgical teams.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Perforated choledochal cysts (CDCs) are traditionally considered a contraindication for laparoscopic surgery.
  • Evaluating novel minimally invasive techniques for complex pediatric surgical conditions is crucial.

Purpose of the Study:

  • To assess the efficacy and safety of single-incision laparoscopic hepaticojejunostomy (SILH) in pediatric patients with perforated CDCs.
  • To determine the feasibility of SILH as an alternative to open surgery for perforated CDCs.

Main Methods:

  • Retrospective review of 133 children with perforated CDCs who underwent SILH between August 2011 and August 2017.
  • Analysis of operative outcomes, including conversion rates, operative time, hospital stay, and complication rates.

Main Results:

  • 11.3% of patients required conversion to open surgery due to severe adhesions or oozing.
  • No cases of bile leak, anastomotic stenosis, cholangitis, or pancreatic complications were reported.
  • Minor complications included duodenal injury (1.7%) and temporary abdominal fluid collection (0.8%).

Conclusions:

  • SILH is a safe and effective surgical option for selected pediatric patients with perforated CDCs.
  • Experienced surgical teams can successfully perform SILH, achieving favorable outcomes with low complication rates.
Abstract

Keywords:
ChildrenCholedochal cystsHepaticojejunostomyPerforationSingle-incision laparoscopic surgery

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