Technical details in laparoscopic treatment of choledochal cyst in children: a report of 36 cases

doi:10.3877/cma.j.issn.1674-6899.2018.06.010

Abstract

Abstract:

Objective

To improve the safety and efficiency of laparoscopic surgery in children with choledochal cyst through analyzing the technical details during the operating process .

Methods

Clinical data of 36 children who were finally diagnosed as choledochal cyst and receiving laparoscopic treatment were analyzed retrospectively, with emphasis on the intraoperative technical details.

Results

Laparoscopic choledochal cyst resection and hepatojejunostomy with Roux-en-Y anastomosis were completed successfully for all patients, The operation time and volume of intraoperative blood loss were (215±35)minutes and (34±22)ml, The indwelling time of nasogastric tube and abdominal drainage tube were (2.4±1.2)d and (6.0±2.2)d, The resumption time of normal diet was (2.8±1.0)d and the postoperative stay was (7.9±1.9)d . The postoperative complication was found in 3 patients(8.3%) and no deaths occurred.

Conclusions

Laparoscopic surgery is a safe and effective method in treating children with choledochal cyst. Several technical details, including proper trocar setting, cyst-strippings and digestive tract reconstructions, can effectively improve the efficiency and safety of the operation.

Key words: Laparoscopy, Choledochal cyst, Children, Hepatojejunostomy with Roux-en-Y anastomosis

Hao Bu, Wei Cheng, Xinmin Yin, Meifu Chen, Yang Zhou, Lei Zhou, Chuang Peng, Bo Jiang. Technical details in laparoscopic treatment of choledochal cyst in children: a report of 36 cases[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2018, 11(06): 352-355.

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