2013, Number 5
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ABSTRACTBackground. Choledochal cyst is a rare abnormality. Its estimated incidence is of 1:100,000 to 150,000 live births. Todani et al. in 1981 reported the main objection for performing a simpler procedure, i.e., hepaticoduodenostomy, has been the risk of an “ascending cholangitis”. This hazard, however, seems to be exaggerated.
Methods: A laparoscopic procedure was performed in 8 consecutive patients with choledochal cyst between January 2010 and September 2012; 6 females and 2 males mean age was 8 years.
Results. Abdominal pain was the main symptom in everyone, jaundice in 1 patient and a palpable mass in 3 patients. Laparoscopic surgical treatment was complete resection of the cyst with cholecystectomy and hepaticoduodenostomy laparoscopy in every patient.
Discussion and conclusion. A laparoscopic approach to choledochal cyst resection and hepaticoduodenostomy is feasible and safe. The hepaticoduodenal anastomosis may confer additional benefits over hepaticojejunostomy in the setting of a laparoscopic approach. The creation of a single anastomosis can decrease operative time and anesthetic exposure.
Nguyen TL, Pham DH, Le AD, Tran NS, Vu MH. Early and intermediate outcomes of laparoscopic cystectomy and hepaticoduodenostomy versus roux-en-Y hepaticojejunostomy for choledochal cyst in children: a randomized clinical trial. IPEG 2011, The 20th Annual Congress for endosurgery in children. Jour laparoendoscopic. 2011;21(4):7-8.