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2014, Number 1

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Rev Mex Cir Pediatr 2014; 18 (1)

Complete resection of choledochal cyst through laparoscopic approach

Licona-Islas C, Pérez-Lorenzana H, Leal-Cirerol E, Moreno-Vázquez R

Language: Spanish
References: 26
Page: 7-17
PDF size: 264.92 Kb.


ABSTRACT

Introduction: The definitive treatment for choledochal cyst is total resection with a hepatoyeyunoanastomosis (HY) in de Roux-En-Y. The aim is to present the experience and evolution of complete resection through a laparoscopic technique.
Material and Methods: A prospective study in 17 patients with bile duct dilatation. Laparoscopic resection of the cyst was performed, followed by HY Roux-En-Y, during a period of seven years.
Results: Patients ranged from 28 days old to 13 years, all of them were girls with type I cyst. A laparoscopic approach was performed using 3 right trocars and one left trocar. Transcutaneous references were used to facilitate the HY and a endoGIA® for de Roux-En-Y when ever the resource was available.
Discussion: Modifications to the laparoscopic technique are a good alternative in surgical management, reduces HY difficulties, and the stapler improves recovery time.


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