Advertisement

Laparoscopic Surgery of Congenital Biliary Dilatation

  • Nguyen Thanh LiemEmail author
Chapter

Abstract

Laparoscopic surgery has become a common procedure for congenital biliary dilatation. The dilated choledochus should be removed completely just above the confluence of the common biliopancreatic channel at the distal end and approximately 5 mm from the confluence of the right and left hepatic ducts at the proximal end to avoid complications of the its remnant. The operation is feasible and safe. The rate of conversion to open surgery is low. The rate of complication of laparoscopic surgery performed by skilled surgeons is also low, even lower than that of open surgery. There is no difference between hepaticoduodenostomy and hepaticojejunostomy concerning the rate of cholangitis. Gastritis due to bilious reflux occurred with a low rate in hepaticoduodenostomy. Both techniques could be used for congenital biliary dilatation; however, hepaticoduodenostomy should be applied for congenital biliary dilatation without intrahepatic dilatation of biliary tract.

Keywords

Congenital biliary dilatation Laparoscopic surgery Hepaticoduodenostomy Hepaticojejunostomy 

References

  1. 1.
    Farello GA, Cerofolini A, Rebonato M, et al. Congenital choledochal cyst: video-guided laparoscopic treatment. Surg Laparosc Endosc. 1995;5:354–857.PubMedGoogle Scholar
  2. 2.
    Tan HL, Shankar KR, Ford WD. Laparoscopic resection of type I choledochal cyst. Surg Endosc. 2003;17:1495.CrossRefPubMedGoogle Scholar
  3. 3.
    Tanaka M, Shimizu S, Mizumoto K, et al. Laparoscopically assisted resection of choledochal cyst and Roux-en-Y reconstruction. Surg Endosc. 2001;15:545–52.CrossRefPubMedGoogle Scholar
  4. 4.
    Li L, Feng W, Jing-Bo F, et al. Laparoscopic-assisted total cyst excision of choledochal cyst and Roux-en Y hepatoenterostomy. J Pediatr Surg. 2004;39:1663–5.CrossRefPubMedGoogle Scholar
  5. 5.
    Lee H, Hirose S, Bratton B, et al. Initial experience with complex laparoscopic biliary surgery in children: biliary atresia and choledochal cyst. J Pediatr Surg. 2004;39:804–7.CrossRefPubMedGoogle Scholar
  6. 6.
    Jang JY, Kim SW, Han HS, et al. Totally laparoscopic management of choledochal cyst using a four-hole method. Surg Endosc. 2006;20:1762–5.CrossRefPubMedGoogle Scholar
  7. 7.
    Laje P, Questa H, Bailez M. Laparoscopic leak-free technique for the treatment of choledochal cyst. J Laparoendosc Adv Surg Tech A. 2007;17:519–21.CrossRefPubMedGoogle Scholar
  8. 8.
    Aspelund G, Ling SC, Ng V, et al. A role for laparoscopic approach in the treatment of biliary atresia and choledochal cysts. J Pediatr Surg. 2007;42:869–73.CrossRefPubMedGoogle Scholar
  9. 9.
    Hong L, Wu Y, Yan Z, et al. Laparoscopic surgery for choledochal cyst in children: a case review of 31patients. Eur J Pediatr Surg. 2008;18:67–71.CrossRefPubMedGoogle Scholar
  10. 10.
    Liem NT, Dung LA, Son TN. Laparoscopic complete cyst excision and hepaticoduodenostomy for choledochal cyst: early results in 74 cases. J Laparoendosc Adv Surg Tech. 2009;19(s1):s87–90.CrossRefGoogle Scholar
  11. 11.
    Liem NT, Hien PD, Dung LA, et al. Laparoscopic repair for choledochal cyst: lessons learned from 190 cases. J Pediatr Surg. 2010;45:540–4.CrossRefGoogle Scholar
  12. 12.
    Liem NT, Pham HD, Dung le A, et al. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. Laparoendosc Adv Surg Tech A. 2012;22(6):599–603.CrossRefGoogle Scholar
  13. 13.
    Chokshi NK, Guner YS, Aranda A, et al. Laparoscopic choledochal cyst excision: lessons learned in our experience. J Laparoendosc Adv Surg Tech A. 2009;19:87–91.CrossRefPubMedGoogle Scholar
  14. 14.
    Lee KH, Tam YH, Yeung CK, et al. Laparoscopic excision of choledochal cyst in children: an intermediate-term report. Pediatr Surg Int. 2009;25:355–60.CrossRefPubMedGoogle Scholar
  15. 15.
    Miyano G, Koga H, Shimotakahara A, et al. Intralaparoscopic endoscopy: its value during laparoscopic repair of choledochal cyst. Pediatr Surg Int. 2011;27:463–6.CrossRefPubMedGoogle Scholar
  16. 16.
    Diao M, Li L, Cheng W. Laparoscopic versus open Roux-en-Y hepaticojejunostomy for children with choledochal cysts: intermediate-term follow-up results. Surg Endosc. 2011;25:1567–73.CrossRefPubMedGoogle Scholar
  17. 17.
    Qiao G, Li L, Li S, et al. Laparoscopic cyst excision and Roux-Y hepaticojejunostomy for children with choledochal cysts in China: a multicenter study. Surg Endosc. 2015;29(1):140–4.CrossRefPubMedGoogle Scholar
  18. 18.
    Koga H, Okawada M, Doi T, et al. Refining the intraoperative measurement of the distal intrapancreatic part of a choledochal cyst during laparoscopic repair allows near total excision. Pediatr Surg Int. 2015;31(10):991–4.CrossRefPubMedGoogle Scholar
  19. 19.
    Nederlandse Studiegroep voor Choledochus Cysten/malformaties (NeSCHoC), van den Eijnden MHA, de Kleine RHJ, de Blaauw I, Peeters PGJM, Koot BPG, Oomen MWN, Sloots CEJ, van Gemert WG, van der Zee DC, van Heurn LWE, Verkade HJ, Wilde JCH, Hulscher JBF. Choledochal malformation in children: lessons learned from a Dutch National Study. World J Surg. 2017;41(10):2631–7.  https://doi.org/10.1007/s00268-017-4064-x.CrossRefGoogle Scholar
  20. 20.
    Son TN, Liem NT, Hoan VX. Transumbilical laparoendoscopic single-site surgery with conventional instruments for choledochal cyst in children: early results of 86 cases. J Laparoendosc Adv Surg Tech A. 2014;24(12):907–10.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  1. 1.Vinmec International HospitalHanoiVietnam
  2. 2.Vinmec Research Institute of Stem Cell and Gene TechnologyHanoiVietnam

Personalised recommendations