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Laparoscopically Assisted Excision of Choledochal Cysts and Reconstruction of the Biliary Tract in Children

  • Seiki Tashiro
  • Hidenori Miyake
Chapter

Abstract

The definitive surgical procedure for choledochal cysts associated with pancreaticobiliary maljunction is excision of the dilated extrahepatic bile duct and biliary reconstruction with hepaticoenterostomy. In conventional surgery, a transverse skin incision greater than 10 cm in length is made in the right upper abdomen. The size of the incision wound may increase 1.5- to twofold later in life, with the development of an ugly scar in rare cases. In order to ensure safe and effective surgery while preventing the formation of a non-cosmetic wound, we performed laparoscopically assisted excision of a choledochal cyst combined with mini-laparotomy using a 4-cm incision for biliary reconstruction in a female infant. Her postoperative course was uneventful. This surgical strategy for choledochal cysts may have several advantages because it is a minimally invasive procedure that provides superior cosmetic results and allows a more rapid return to normal functional status due to the small size of the skin incision.

Keywords

Bile Duct Common Bile Duct Choledochal Cyst Percutaneous Transhepatic Biliary Drainage Hepatic Hilus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Farello GA, Cerofolini A, Rebonato M, Bergamaschi G, Ferrari C, Chiappetta A (1995) Congenital choledochal cyst: Video-guided laparoscopic treatment. Surg Laparosc Endosc 5:354–358PubMedGoogle Scholar
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    Watanabe Y, Toki A, Todani T (1999) Bile duct cancer developed after cyst excision for choledochal cyst. J Hepatobiliary Pancreat Surg 6:207–212PubMedCrossRefGoogle Scholar
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    Shimura H, Tanaka S, Shimizu S, Mizumoto K (1998) Laparoscopic treatment of congenital choledochal cyst. Surg Endosc 12:1268–1271PubMedCrossRefGoogle Scholar

Copyright information

© Springer Japan 2004

Authors and Affiliations

  • Seiki Tashiro
    • 1
  • Hidenori Miyake
    • 1
  1. 1.The University of Tokushima School of MedicineTokushimaJapan

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