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ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2018, Number 3

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Cir Gen 2018; 40 (3)

Laparoscopic resection of a choledochal cyst. Report of two cases and medium-term follow-up

Crisanto-Campos BA, Trejo-Ávila ME, Arce-Liévano E, Moreno-Portillo M

Language: Spanish
References: 10
Page: 200-205
PDF size: 315.05 Kb.


ABSTRACT

Introduction: The first laparoscopic resection of a choledochal cyst was reported by Farello in 1995. Complete cyst resection with bilioenteric reconstruction is the established treatment of Todani I, II and IV-A choledochal cysts. The aim of this study is to present the clinical characteristics, the surgical technical details and the results obtained in two patients with choledochal cysts, as well as their fully laparoscopic management at our hospital. Clinical cases: Two females, aged 19 and 38 years, with the diagnosis of Todani I-C and I-B choledochal cysts. Results: Both procedures were laparoscopic, with transoperative bleeding of 600 ml and 350 ml respectively, and surgery durations of 390 and 340 minutes. Oral intake was resumed after 48 hours. Hospital stays were 5 and 6 days. There were no postoperative complications. The histopathology report described complete resection of the margins, with no evidence of malignant degeneration. A control magnetic resonance cholangiography at one month showed patency of the anastomosis. Maximum follow-up was 50 and 51 months, respectively. Conclusions: The presentation of these two cases underscores the feasibility of these procedures in our medical setting. We share the technical details of the laparoscopic surgical approach as a reference for other surgeons in the country.


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