Laparoscopic management of choledochal cyst in children

Liêm, Nguyễn Thanh; Agrawal, Vikesh; Aison, Dexter S

doi:10.4103/jmas.jmas_114_20

Cited by 4 publications

(2 citation statements)

References 49 publications

(50 reference statements)

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“…[10][11][12] The diagnosis of CC is typically first accomplished However, it had a shorter duration of recovery of bowel function and hospital stay. 3,7 Some risk factors might affect the outcome of the surgery and also the long term complications such as patient's age at operation, gender, preoperative laboratory findings, presence of preopratove cholangitis and pancreatitis as well as operation time. [16][17][18] Spontaneous perforation with biliary peritonitis is a rare complication of bile duct cysts, described in less than 2% of cases, usually in children.…”

Section: Discussionmentioning

confidence: 99%

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Multiple Choledochal Cysts: A Case Report

Rezki,

Yusri Dianne Jurnalis,

Budi Pratama Arnofyan

2024

Bioscmed

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Background: Choledochal cysts (CC) are congenital dilatations of the biliary tree, characterized by varying degrees of cystic dilatation at various segments of the biliary tract (extrahepatic or intrahepatic), may be detected at any age and in any portion of the bile duct. This study was aimed to present the management of multiple choledochal cyst case. Case presentation: A 9 year old boy was brought by his mother to the emergency department at Dr. M. Djamil General Hospital Padang with chief complaint abdominal pain that’s getting worse 2 weeks before admission. Abdominal pain first complained by the patient since age of 4, the pain was felt all over stomach area, not localized, not radiated, not corelated with meal time, colicky, relieved with paracetamol. USG results: Choledochal cyst, Helicobacter pylori infection, elevated liver enzymes due to suspect suppression of choledochal cyst. Abdominal CT-Scan with contrast results: Intrahepatic and extrahepatic choledochal cyst (type IV A). Conclusion: Patients was diagnosed with multiple choledochal cysts, diffuse peritonitis, Helicobacter pylori infection, and familial short stature.

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Section: Discussionmentioning

confidence: 99%

“…Some postoperative leak, and pancreatitis. 1,3,4 This study aimed to present the management of multiple choledochal cyst cases.…”

Section: Introductionmentioning

confidence: 99%

Multiple Choledochal Cysts: A Case Report

Rezki,

Yusri Dianne Jurnalis,

Budi Pratama Arnofyan

2024

Bioscmed

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Giant bile duct dilatation in newborn: A case report

Quan,

Li,

et al. 2024

World J Clin Cases

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BACKGROUND Giant congenital biliary dilation (CBD) is a rare condition observed in clinical practice. Infants born with this condition often experience a poor overall health status, and the disease progresses rapidly, leading to severe biliary obstruction, infections, pressure exerted by the enlarged CBD on abdominal organs, disturbances in the internal environment, and multiple organ dysfunction. The treatment of giant CBD using laparoscopy is challenging due to the high degree of variation in the shape of the bile duct and other organs, making it difficult to separate the bile duct wall from adjacent tissues or to control bleeding. CASE SUMMARY Herein, we present the details of an 11-d-old male newborn who was diagnosed with giant CBD. The patient was admitted to the neonatal surgery department of our hospital due to a history of common bile duct cyst that was detected more than 3 mo ago, and also because the patient had been experiencing yellowish skin for the past 9 d. The abnormal echo in the fetal abdomen was first noticed by the patient’s mother during a routine ultrasound examination at a local hospital, when the patient was at 24 wk + 6 d of pregnancy. This finding raised concerns about the possibility of congenital biliary dilatation (22 mm × 21 mm). Subsequent ultrasound examinations at different hospitals consistently confirmed the presence of a congenital biliary dilatation. No specific treatment was administered for biliary dilatation during this period. A computed tomography scan conducted during the hospitalization revealed a large cystic mass in the right upper quadrant and pelvis, measuring approximately 9.2 cm × 7.4 cm × 11.3 cm. Based on the scan, it was classified as a type I biliary dilatation. CONCLUSION The analysis reveals that prenatal imaging techniques, such as ultrasound and magnetic resonance imaging, play a crucial role in the early diagnosis, fetal prognosis, and treatment plan for giant CBD. Laparoscopic surgery for giant CBD presents certain challenges, including difficulties in separating the cyst wall, anastomosis, and hemostasis, as well as severe biliary system infection and ulceration. Consequently, there is a high likelihood of converting to laparotomy. The choice between surgical methods like hepaticojejunostomy (HJ) or hepaticoduodenostomy has not been standardized yet. However, we have achieved favorable outcomes using HJ. Preoperative management of inflammation, biliary drainage, liver function protection, and supportive treatment are particularly vital in improving children’s prognosis. After discharge, it is essential to conduct timely reexamination and close follow-up to identify potential complications.

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Curative effect and technical key points of laparoscopic surgery for choledochal cysts in children

Bian

Zhi

Zeng

et al. 2022

Preprint

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Background The purpose of this study was to investigate the curative effect of and experience with laparoscopic surgery for congenital choledochal cysts in children. Methods This is a retrospective analysis of 33 children diagnosed with congenital choledochal cyst in the pediatric surgery department of the Affiliated Hospital of Southwest Medical University between January 2019 and December 2021. The cohort included 8 males and 25 females aged 0.25 to 13.7 years (median age, 3.2 years), including 21 cases of type I and 12 cases of type IV choledochal cyst (Todani classification). Laparoscopic choledochal cyst resection and hepaticojejunostomy with Roux-en-Y anastomosis were performed in all the patients. Results Laparoscopy without transit opening was successfully performed in the 33 cases. The duration of the procedure was 235–460 min (mean ± SD, 316 ± 61 min), and intraoperative blood loss volume was 15–40 ml (23 ± 7.6 ml). Postoperative hospital stay was 7–14 days (9 ± 1.8 days). Postoperative biliary fistula and pancreatitis occurred in two cases each, and all four patients were successfully treated with conservative treatment. No anastomotic stenosis, delayed bleeding, cholangitis, intestinal obstruction, or other complications occurred. All the children were followed up for 2–36 months. The clinical symptoms disappeared, and no obvious hepatic dysfunction was found on abdominal color ultrasound and liver function examination. Conclusions Laparoscopic surgery for congenital choledochal cyst in children is safe and effective, as it is a minimally invasive surgery that is associated with a low degree of trauma and bleeding, rapid postoperative recovery, and satisfactory aesthetic appearance.

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Laparoscopic management of choledochal cyst in children

Cited by 4 publications

References 49 publications

Multiple Choledochal Cysts: A Case Report

Multiple Choledochal Cysts: A Case Report

Giant bile duct dilatation in newborn: A case report

Curative effect and technical key points of laparoscopic surgery for choledochal cysts in children

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