Choledochal cyst in the pediatric population: experience of 13 laparoscopic procedures in two years at a single institution

Abstract

laparoscopy is a safe method to correct choledochal cysts, even in younger children, with low rates of complications and low rates of conversion to open surgery when performed by well trained surgeons.

Comparison of efficacy and safety of laparoscopic excision and open operation in children with choledochal cysts: A systematic review and update meta-analysis

“…Meanwhile, long-term complications refer to those happen during the follow-up period, including adhesive ileus, bile duct obstruction, anastomotic stenosis, pancreatitis, and cholangitis, et al As previous studies showed [8,32], laparoscopy with its umbilicus-to-hepatic hilum direction of vision provides a better view of the deep anatomic structures, such as hepatic hilum, portal vein, and hepatic arteries. The magnified view from this direction enables meticulous dissection, excision, and ligature; therefore, prevents injuries of the biliary and pancreatic ducts, promotes hemostasis and minimizes blood loss [9], which may reduce complications. This is highly important because most resections are performed on children, which need to be safe and effective.…”

“…With the rapid development of laparoscopic techniques in recent years, laparoscopy excision in children with CDC have evolved at an unprecedented pace. Nonetheless, the laparoscopic choledochal cyst surgery in children is a procedure with more technical challenge and complexity [9]. Two published in 2014 [10,11] had confirmed an improvement in some perioperative outcomes in children with CDCs through laparoscopic excision; however, they failed to reveal the rate of postoperative complications between 2 approaches since insufficient evidence.…”

Choledochal cysts: Similarities and differences between Asian and Western countries

“…Current evidence suggests similar efficacy in treatment options between the East and West, however, this remains an area of limited data. This continues to evolve, especially as minimally invasive techniques are now being adopted for CC disease management[49-52]. More multi-institutional studies such as the one by Soares et al[11] and ideally international registries are needed to further understand CC disease in the West and devise management protocols.…”

Doença De Caroli

“…Os cistos de colédoco do tipo V são dilatações intra-hepáticas do sistema biliar, mas sem a anormalidade genética da doença de Caroli. No entanto, de acordo com a classificação de Todani, Tabela 5.1, a doença de Caroli é agrupada com os cistos de colédoco do tipo V (CORREIA & MORGADO, 2017;HABIB et al, 2006;TALINI et al, 2018).…”