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

  • Seiki Tashiro
  • Hidenori Miyake


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.


Bile Duct Common Bile Duct Choledochal Cyst Percutaneous Transhepatic Biliary Drainage Hepatic Hilus 
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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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