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ISSN 1665-2576 (Print)

2013, Number 1

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Rev Mex Cir Endoscop 2013; 14 (1)

Choledochal cysts in adult: total laparoscopic excision. Case report

Crisanto-Campos BA, Torres-Ruíz MF, Vázquez-Bailón IJ, Dávila-Zenteno MR, Arce-Liévano E, Cárdenas-Lailson LE, Romero LLS, Rojano-Rodríguez ME, Moreno-Portillo M

Language: Spanish
References: 10
Page: 38-42
PDF size: 628.70 Kb.


ABSTRACT

Background: The choledochal cysts are congenital dilatations of the biliary tract, they are more frequent in woman; 80% are diagnosed before they are 10 years old. The approach in this entity can be surgical or endoscopic according to the of Todani modification of Alfonso-Lej classification. Case report: We present our experience in a complete laparoscopic management treatment Todani 1C for a choledochal cyst in a 19 year old patient from our Hepatobiliar and Pancreatic Clinic, of the General and Endoscopic Surgery Division at the General Hospital «Dr. Manuel Gea Gonzalez» in Mexico City. Results: The procedure was realized by a totally laparoscopic approach in 390 minutes, the patient was discharged from the hospital 5 days later, after a month a colangioresonance was performed which showed bilis flowing through the Roux-en-Y anastomosis and no stenosis at the bilioenteric reconstruction, at 3 months from the surgery it has shown no complications. Conclusion: Even if the laparoscopic approach is a technically demanding procedure, in experimented groups is a safe treatment to choledochal cysts.


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