Laparoscopic excision of a choledochal cyst in 82 consecutive patients
- 717 Downloads
Despite it being a benign disease, a choledochal cyst must be removed with the gallbladder (GB) due to the risk of cancer in the biliary tract. Most patients are young females or children, all of whom express strong interest in the cosmetic results in addition to the complete resolution of their medical problems. Here, we introduce a laparoscopic management technique for a choledochal cyst.
Between 2003 and 2011, we performed a laparoscopic choledochal cyst excision procedure on 82 patients using a four-hole method. There were three open-conversion cases, one case involving robotic surgery, and one case involving combined laparoscopic liver resection because the cyst had affected the liver. Excision of the cyst and anastomosis were performed laparoscopically. We will present our method with a video.
The mean operation time was 230 min. The estimated blood loss was 197 ml. The average hospital stay was 8.6 days. The most common complications were minor bile leakage (7 %) and fluid collection (2.5 %), both of which were managed conservatively.
Laparoscopic management can be a treatment of choice for the most instances of choledochal cyst considering its good cosmetic results and its feasible level of operative safety.
KeywordsCholedochal cyst Laparoscopic excision Long-term result
Drs. Jin-Young Jang, Yoo-Seok Yoon, Mee Joo Kang, Wooil Kwon, Jae Woo Park, Ye Rim Chang, Young-Joon Ahn, Jai Young Cho, Ho-Seong Han, and Sun-Whe Kim have no conflict of interest or financial ties to disclose.
- 6.Kim MH, Lim BC, Park HJ, Lee SK, Kim CD, Roe IH, Kim YT, Song SY, Kim JH, Chung JB, Shim CS, Yoon YB, Min YI, Yang US, Kang JK (2000) A study on normal structures, variations, and anomalies of the Korean pancreaticobiliary ducts: cooperative multicenter study. Korean J Gastrointest Endosc 21:624–632Google Scholar
- 12.Hwang DW, Lee JH, Lee SY, Song DK, Hwang JW, Park KM, Lee YJ (2012) Early experience of laparoscopic complete en bloc excision for choledochal cysts in adults. Surg Endosc May 2 [Epub ahead of print]Google Scholar
- 13.Yoon YS, Kim SW, Ahn YJ, Jang JY, Park YH (2004) Late complications after excisional operation for choledochal cyst. J Korean Surg Soc 66:116–122Google Scholar