Pediatric Surgery International

, Volume 29, Issue 4, pp 317–326

Role of laparoscopy in treatment of choledochal cysts in children

Review Article

Abstract

Laparoscopy enables surgeons to approach the surgical conditions from a new perspective. Laparoscopic surgery has revolutionized the treatment of choledochal cysts (CDC). Yet, this new technique requires objective evaluations. We have examined the controversies about the CDC dissection, distal common bile duct ligation, ductoplasty for hepatic duct stenosis, intrahepatic duct and common channel protein plug clearance, timing of surgery for antenatally diagnosed CDC, and the Roux loop length in CDC children. In the hands of experts, laparoscopic excision of the cyst and Roux-en-Y hepaticojejunostomy is a safe and effective approach. We provide our opinions on these issues based on our experience and publications. We conclude that the main outcomes comparable to those of the open surgery. The better wound cosmesis and reduction of surgical trauma are the advantages.

Keywords

Laparoscopy Choledochal cyst Hepaticojejunostomy Children 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of Pediatric SurgeryCapital Institute of PediatricsBeijingPeople’s Republic of China
  2. 2.Department of Paediatric Surgery, Monash Children’s, Southern Health, Faculty of Medicine, Nursing and Health SciencesMonash UniversityClaytonAustralia

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