Laparoscopically Assisted Excision of Choledochal Cysts and Reconstruction of the Biliary Tract in Children
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.
KeywordsBile Duct Common Bile Duct Choledochal Cyst Percutaneous Transhepatic Biliary Drainage Hepatic Hilus
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