2018, Number 3
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ABSTRACTIntroduction: The first laparoscopic excision was reported by Farello in 1995, in a 16-year-old patient. Excision of the cyst with a bilioenteric procedure (hepaticojejunostomy or hepaticoduodenostomy anastomosis) is recommended for Todani I, II and IV-A. The aim of this report is to present two female adult patients treated at our institution, describing the details of our laparoscopic technique and postoperative results. Case report: Two female patients, 19 and 38 years old, with diagnosis of choledochal cysts Todani I-C and I-B. Results: Both procedures were completed laparoscopically, with mean operative times of 390 and 340 minutes, mean blood loss of 600 ml and 350 ml. The oral route was resumed at 48 hours. The mean hospital stay was five and six days. Pathology reported complete resection margins and no evidence of neoplastic degeneration. The magnetic resonance cholangiography described complete patency of the anastomosis. There were no postoperative complications. The maximum follow-up was of 50 and 51 months, respectively. Conclusions: With this report, we emphasize that this procedure is feasible and safe to perform in our country. We share our experience and technical details to our national colleagues.
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