ABSTRACT
Objective To evaluate feasibility of totally laparoscopic surgical treatment of congenital choledochal cysts(CCC) in adult patients.Methods The clinical data of 36 adult CCC patients were analyzed retrospectively.In this study there were 31 type Ⅰ cases and 5 type Ⅳ cases,divided into laparoscopic operation group (n =18) and open operation group (n =18).Results There were no death cases in perioperative period and all patients were followed up.The total operative time of laparoscopy group compared with open group respectively was (212 ± 43) min and (135 ± 20) min (P ＜ 0.05),the volume of blood loss during operation was (75 ± 20) ml and (150 ± 49) ml,(respectively t =6.875,6.000,P ＜0.05).Postoperative recovery time of intestinal function was (65 ± 15) h vs (94 ± 12) h,celiac drainage tube indwelling time was (72 ± 20) h vs (89 ± 26) h,postoperative hospital stay was (5.8 ± 1.4) d vs (8.9 ± 0.9) d,(respectively t =6.444,2.199,7.908,P ＜ 0.05).One case suffered from reflux cholangitis in the laparoscopic group,1 case of choledochojejunostomy stricture and recurrence of intrahepatic calculi in the open group.Conclusion Laparoscopic cystectomy and cholangiojejunostomy for congenital choledochal cyst in adults is safe and feasible.