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Laparoscopic Choledochal Cyst Excision and Hepaticojejunostomy: A Case Series
Journal of Minimally Invasive Surgery ; : 58-62, 2017.
Artículo en Inglés | WPRIM | ID: wpr-175116
ABSTRACT

PURPOSE:

Choledochal cysts are congenital dilatations of the biliary tract and are generally surgically excised. Laparoscopic total excision of choledochal cysts and hepaticojejunal biliary tract reconstruction has gained acceptance among pediatric surgeons. We report our early experience with this procedure.

METHODS:

From May 2013 to April 2016, 10 consecutive patients (7 females and 3 males) underwent laparoscopic choledochal cyst excision and hepaticojejunostomy at our center. We retrospectively reviewed their medical records for age, sex, clinical symptoms, Todani classification, anomalous pancreaticobiliary duct union, operative time, starting day for enteral feeding, complications, and hospital stay.

RESULTS:

The median patient age was 22 months. Four patients were aged less than 6months, 3 of whom received prenatal diagnosis using ultrasonography. Patients presented with abdominal pain, jaundice, vomiting and fever. No abdominal mass was palpated in any patient. One patient was classified as Todani type Ia, 4 as Ic, and 5as IVa. Six patients had an anomalous pancreaticobiliary duct union. The mean operative time was 319.4 minutes. There were no surgery-related complications. Sips of water were allowed from mean postoperative day 2.4 and regular diet from mean postoperative day 3.4. The mean hospital stay was 6.5 days.

CONCLUSION:

Laparoscopic excision of choledochal cyst and hepaticojejunostomy in children is feasible with favorable cosmesis.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Diagnóstico Prenatal / Vómitos / Sistema Biliar / Agua / Dolor Abdominal / Quiste del Colédoco / Registros Médicos / Estudios Retrospectivos / Ultrasonografía / Clasificación Tipo de estudio: Estudio diagnóstico / Estudio observacional Límite: Niño / Femenino / Humanos Idioma: Inglés Revista: Journal of Minimally Invasive Surgery Año: 2017 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Diagnóstico Prenatal / Vómitos / Sistema Biliar / Agua / Dolor Abdominal / Quiste del Colédoco / Registros Médicos / Estudios Retrospectivos / Ultrasonografía / Clasificación Tipo de estudio: Estudio diagnóstico / Estudio observacional Límite: Niño / Femenino / Humanos Idioma: Inglés Revista: Journal of Minimally Invasive Surgery Año: 2017 Tipo del documento: Artículo