Laparoscopic Management of Choledochal Cyst‐Technical Modifications and Outcome Analysis

Abstract

Laparoscopic excision of CDC is safe and feasible. Surgery should be performed early as outcomes are better in pediatric age as compared to adults.

Laparoscopic Treatment of Choledochal Cyst Using Barbed Sutures

“…This results in more inflammation and fibrosis, which can result in a higher overall complication rate. 7 Indeed, a 2011 study by Cho et al that analyzed adult CDC patients reported a stricture rate of 6.3%, which is higher than stricture rates reported in the pediatric population. 15 Another factor that obviously needs to be considered is surgical expertise.…”

“…In fact, the average operation time of our study was about 160 minutes, which was shorter than the operation times reported previously, which was about 210*250 minutes. 7,14 But among the 4 patients included in our study, 1 patient developed anastomosis stricture. At routine follow-up, this patient showed an elevated total bilirubin level of 3.6 mg/dL and MRCP showed stricture at the HJ.…”

“…As in many other fields in surgery, laparoscopic surgery has been reported to be feasible in the treatment of choledochal cyst. 6,7 But because of the narrow caliber of the bile duct, meticulous intracorporeal suturing and knotting are necessary. And because of this, many centers still perform open surgery for the treatment of choledochal cyst.…”

Laparoscopic treatment of common bile duct cystic transformation (type II by Todani)

“…Методом выбора для большинства пациентов являются по возможности полное удаление кисты и гепатикоеюностомия на отключенной по Ру петле тонкой кишки [1,13,14].…”

“…В мире описаны единичные наблюдения лапа-роскопических вмешательств при КЖП [2,9,[14][15][16]. Предлагаемое описание лапароскопического вмешательства по поводу КЖП основано на соб-ственном опыте.…”