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Laparoscopic Choledochal Cyst Excision and Hepaticojejunostomy: A Case Series

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Author(s)
Eun-jung KooEunyoung JungSoon-Ok Choi,
Keimyung Author(s)
Jung, Eun YoungChoi, Soon Ok
Department
Dept. of Surgery (외과학)
Journal Title
대한내시경복강경외과학회지
Issued Date
2017
Volume
20
Issue
2
Keyword
Choledochal cystLaparoscopyChild
Abstract
Purpose:

Choledochal cysts are congenital dilatations of the biliary tract and are generally surgically excised. Laparoscopic total excision of choledochal cysts and hepaticojejunal biliary tract reconstruction has gained acceptance among pediatric surgeons. We report our early experience with this procedure.


Methods:

From May 2013 to April 2016, 10 consecutive patients (7 females and 3 males) underwent laparoscopic choledochal cyst excision and hepaticojejunostomy at our center. We retrospectively reviewed their medical records for age, sex, clinical symptoms, Todani classification, anomalous pancreaticobiliary duct union, operative time, starting day for enteral feeding, complications, and hospital stay.


Results:

The median patient age was 22 months. Four patients were aged less than 6months, 3 of whom received prenatal diagnosis using ultrasonography. Patients presented with abdominal pain, jaundice, vomiting and fever. No abdominal mass was palpated in any patient. One patient was classified as Todani type Ia, 4 as Ic, and 5as IVa. Six patients had an anomalous pancreaticobiliary duct union. The mean operative time was 319.4 minutes. There were no surgery-related complications. Sips of water were allowed from mean postoperative day 2.4 and regular diet from mean postoperative day 3.4. The mean hospital stay was 6.5 days.


Conclusion:

Laparoscopic excision of choledochal cyst and hepaticojejunostomy in children is feasible with favorable cosmesis.
Keimyung Author(s)(Kor)
정은영
최순옥
Publisher
School of Medicine
Citation
Eun-jung Koo et al. (2017). Laparoscopic Choledochal Cyst Excision and Hepaticojejunostomy: A Case Series. 대한내시경복강경외과학회지, 20(2), 58–62. doi: 10.7602/jmis.2017.20.2.58
Type
Article
ISSN
2234-778X
DOI
10.7602/jmis.2017.20.2.58
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32407
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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