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Single-Port Laparoscopic Choledochal Cyst Radical Surgery Using Mucosal Eversion Technique in Small-Diameter
Wen-Feng Tang1, Xi-Si Guan1, Xiao-Li Xie1
1Neonatal Surgery Department, Guangzhou Women and Children's Medical Center, Guangzhou, China.
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|February 21, 2025
Summary
The mucosal eversion (ME) technique simplifies small-diameter hepaticojejunostomy during single-port laparoscopic choledochal cyst excision and Roux-en-Y hepaticoenterostomy (SPCH). This method proved safe and effective, preventing complications in a prospective cohort.
Area of Science:
- Minimally Invasive Surgery
- Pediatric Surgery
- Gastroenterology
Background:
- Single-port laparoscopic choledochal cyst (CDC) excision and Roux-en-Y hepaticoenterostomy (SPCH) offers advantages over traditional laparoscopic methods.
- Performing small-diameter hepaticojejunostomy during SPCH is challenging and risks anastomotic complications.
Purpose of the Study:
- To evaluate the efficacy and safety of the mucosal eversion (ME) technique for small-diameter hepaticojejunostomy during SPCH.
- To assess the preliminary outcomes of ME in patients with CDCs.
Main Methods:
- A prospective cohort study included 16 patients with CDC and common hepatic duct diameter <5 mm undergoing SPCH.
- The mucosal eversion (ME) technique was employed for hepaticojejunostomy.
- Patients were followed for at least 1 year, collecting clinical, imaging, and surgical data.
Main Results:
- All 16 patients successfully underwent ME during SPCH, with an average hepaticojejunostomy diameter of 6.75 mm.
- Mean operation time was 266.25 minutes, and average posthospital stay was 6.31 days.
- No anastomotic leakage or stenosis occurred during 12-47 months of follow-up.
Conclusions:
- The mucosal eversion (ME) technique is a reliable and easily executable method.
- ME enhances the prognosis of small-diameter biliary-enteric anastomosis in CDCs undergoing SPCH.
