Laparoscopic resection of type I choledochal cyst.

H. L. Tan, K. R. Shankar, W. D. Ford

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Type I choledochal cyst is a rare saccular or fusiform congenital dilatation of the extrahepatic biliary tract. It is usually treated by laparotomy at which the cyst is completely excised and a Roux-en-Y hepaticojejunostomy is performed to establish biliary enteric drainage. We report the laparoscopic excision and hepaticoduodenostomy of type I choledochal cyst in two girls aged 1 and 3 years. The entire procedure was performed laparoscopically using needlescopic instruments. A 7-mm telescope port was inserted at the umbilicus, a 3-mm port in the right upper quadrant, and a 6-mm port in left upper quadrant. An additional 3-mm fan-shaped liver retractor was passed through the abdominal wall without a trocar. The gallbladder and choledochal cyst was dissected and removed en bloc. The lower end of the common bile duct was closed with 5-0 polydioxanone. The duodenum was anastomosed to the common hepatic duct below the confluence of the right and left hepatic ducts. There were no intraoperative complications, and the children were asymptomatic with no episodes of cholangitis at 6 months follow-up. Pediatric surgeons trained in advanced laparoscopic techniques including intracorporeal suturing can perform laparoscopic repair of choledochal cyst safely.

Original languageEnglish
Pages (from-to)1495
Number of pages1
JournalSurgical Endoscopy
Volume17
Issue number9
Publication statusPublished - Sep 2003
Externally publishedYes

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Choledochal Cyst
Common Hepatic Duct
Polydioxanone
Telescopes
Umbilicus
Cholangitis
Intraoperative Complications
Common Bile Duct
Biliary Tract
Abdominal Wall
Gallbladder
Duodenum
Surgical Instruments
Laparotomy
Cysts
Dilatation
Drainage
Pediatrics
Liver

ASJC Scopus subject areas

  • Surgery

Cite this

Tan, H. L., Shankar, K. R., & Ford, W. D. (2003). Laparoscopic resection of type I choledochal cyst. Surgical Endoscopy, 17(9), 1495.

Laparoscopic resection of type I choledochal cyst. / Tan, H. L.; Shankar, K. R.; Ford, W. D.

In: Surgical Endoscopy, Vol. 17, No. 9, 09.2003, p. 1495.

Research output: Contribution to journalArticle

Tan, HL, Shankar, KR & Ford, WD 2003, 'Laparoscopic resection of type I choledochal cyst.', Surgical Endoscopy, vol. 17, no. 9, pp. 1495.
Tan HL, Shankar KR, Ford WD. Laparoscopic resection of type I choledochal cyst. Surgical Endoscopy. 2003 Sep;17(9):1495.
Tan, H. L. ; Shankar, K. R. ; Ford, W. D. / Laparoscopic resection of type I choledochal cyst. In: Surgical Endoscopy. 2003 ; Vol. 17, No. 9. pp. 1495.
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