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Updated: Jan 22, 2026
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Laparoscopic Surgery in the treatment of children with Choledochal Cyst
Xiushui Qu1, Lihua Cui2, Junchao Xu3
1Xiushui Qu, Department of Pediatric Surgery, Binzhou People's Hospital, Shandong, 256610, China.
Insights
Laparoscopic surgery for pediatric choledochal cysts offers better outcomes than traditional laparotomy. This minimally invasive approach reduces complications and recurrence, improving patient recovery and surgical efficacy.
Area of Science:
- Pediatric surgery
- Minimally invasive surgery
- Gastrointestinal surgery
Background:
- Congenital choledochal cysts are rare biliary tract malformations.
- Traditional treatment involves open laparotomy, which can be associated with significant morbidity.
- Minimally invasive surgical techniques are increasingly being adopted in pediatric surgery.
Purpose of the Study:
- To compare the clinical effectiveness of laparoscopic surgery versus traditional laparotomy for treating congenital choledochal cysts in children.
- To evaluate surgical outcomes, complication rates, and recurrence in both treatment groups.
Main Methods:
- A randomized controlled trial involving 76 children with congenital choledochal cysts.
- Patients were divided into two groups: laparoscopic surgery (observation group) and traditional laparotomy (control group).
- Comparison of surgical indicators, postoperative recovery, complications, and recurrence rates.
Main Results:
- Laparoscopic surgery resulted in significantly smaller incisions and less intraoperative bleeding.
- Patients undergoing laparoscopy had faster recovery, including earlier passage of flatus, earlier oral feeding, and shorter hospital stays.
- The incidence of postoperative complications (2.6% vs. 10.5%) and disease recurrence (0% vs. 13.1%) was significantly lower in the laparoscopic group.
Conclusions:
- Laparoscopic surgery is a highly effective and minimally invasive treatment for pediatric choledochal cysts.
- It offers significant advantages over traditional laparotomy, including reduced complications and recurrence.
- This approach aligns with modern surgical principles and demonstrates high clinical significance and applicability.
Objective:
To evaluate the clinical effectiveness of laparoscopic surgery in the treatment of children with choledochal cyst.
Methods:
Seventy-six children with congenital choledochal cyst who were admitted to our hospital between February 2016 and April 2017 were selected as research subjects. They were evenly divided into an observation group and a control group using random number table, 38 each group. Patients in the observation group underwent laparoscopic surgery, while patients in the control group underwent the traditional laparotomy. Surgery related indicators and prognosis were compared between the two groups.
Results:
The incision size and intraoperative bleeding volume of the observation group were significantly smaller than those of the control group (P<0.05). The time of passage of flatus and time to take food of the observation group were easier than those of the control group, and the duration of hospitalization and parenteral nutrition of the former was significantly shorter than those of the latter, and the difference had statistical significance (P<0.05). The incidence of postoperative complications in the observation group was 2.6%, significantly lower than that in the control group (10.5%) (P<0.05). There was no recurrence in the observation group during the follow-up period, but there were 5 cases of recurrence (13.1%) in the control group; the difference was statistically significant (P<0.05).
Conclusion:
Compared with the traditional laparotomy, laparoscopic surgery conforms more to the concept of modern medical minimally invasive treatment and has a significant clinical effect in the treatment of congenital choledochal cyst in children. It can effectively promote the disappearance of clinical symptoms and signs, reduce the incidence of postoperative complications and disease recurrence, and improve the surgical efficacy, suggesting high clinical significance and application values.
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