Abstract
For the child with a choledochal cyst the treatment of choice is cyst excision with hepaticoenterostomy [1]. Traditionally this has been performed as an open procedure with hepaticojejunostomy. In 1995, the first report of this condition being treated by minimally invasive laparoscopic surgery was published [2]. Initially the uptake of this procedure was slow, because it is a technically demanding procedure. However the last 7 years have seen a marked upsurge in the application of laparoscopic treatment of choledochal cyst with the publication of some large [3–5] and some staggeringly large series [6–8] from centres in South-East Asia, where the condition is more prevalent. The minimally invasive approach has clearly become their standard approach. We adopted this technique in 2007. However, as a department with an interest in robotic surgery and providing supra-regional paediatric liver care, in 2009, we made the transition from conventional laparoscopic to robot assisted excision of choledochal cyst and Roux-en-Y hepaticojejunostomy. This new technique has become our standard approach for treating patients with choledochal cysts [9, 10].
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References
Miyano T, Yamataka A, Kato Y, Segawa O, Lane G, Takamizawa S, Kohno S, Fujiwara T. Hepaticoenterostomy after excision of choledochal cyst in children: a 30 year experience with 180 cases. J Pediatr Surg. 1996;31:1417–21.
Farello GA, Cerofolini A, Rebonato M, Bergamaschi G, Ferrari C, Chiappetta A. Congenital choledochal cyst: video-guided laparoscopic treatment. Surg Laparosc Endosc. 1995;5:354–8.
Lee KH, Tam YH, Yeung CK, Chan KW, Sihoe JDY, Cheung ST, Mou JWC. Laparoscopic excision of choledochal cysts in children: an intermediate-term report. Pediatr Surg Int. 2009;25:355–60.
Tang ST, Yang Y, Wang Y, Mao YZ, Li SW, Tong QS, Cao GQ, Zhao ZX. Laparoscopic choledochal cyst excision, hepaticojejunostomy, and extracorporeal Roux-en-Y anastomosis: a technical skill and intermediate-term report in 62 cases. Surg Endosc. 2011;25:416–22.
Wang B, Feng Q, Mao JX, Liu L, Wong KKY. Early experience with laparoscopic excision of choledochal cyst in 41 children. J Pediatr Surg. 2012;47:2175–8.
Diao M, Li L, Cheng W. Laparoscopic versus open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results. Surg Endosc. 2011;25:1567–73.
Liem NT, Pham HD, Dung LA, Son TN, Vu HM. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A. 2012;22:599–603.
Qiao G, Li L, Li S, Tang S, Wang B, Xi H, Gao Z, Sun Q. Laparoscopic cyst excision and Roux-Y hepaticojejunostomy for children with choledochal cysts in China: a multicentre study. Surg Endosc. 2015;29:140–4.
Dawrant MJ, Najmaldin AS, Alizai NK. Robot-assisted resection of choledochal cysts and hepaticojejunostomy in children less than 10 kg. J Pediatr Surg. 2010;45:2364–8.
Alizai NK, Dawrant MJ, Najmaldin AS. Robot-assisted resection of choledochal cysts and hepaticojejunostomy in children. Pediatr Surg Int. 2014;30:291–4.
Humphrey GM, Najmaldin A. Modification of the Hasson technique in paediatric laparoscopy. Br J Surg. 1994;81:1319.
Diao M, Li L, Cheng W. Is it necessary to ligate distal common bile duct stumps after excising choledochal cysts? Pediatr Surg Int. 2011;27:829–32.
Stringer MD. Wide hilar hepatico-jejunostomy: the optimum method of reconstruction after choledochal cyst excision. Pediatr Surg Int. 2007;23:529–32.
Woo R, Le D, Albanese CT, Kim SS. Robot-assisted laparoscopic resection of a type I choledochal cyst in a child. J Laparoendosc Adv Surg Tech A. 2006;16:179–83.
Kang CM, Chi HS, Kim JY, Choi GH, Kim KS, Choi JS, Lee WJ, Kim BR. A case of robot-assisted excision of choledochal cyst, hepaticojejunostomy, and extracorporeal roux-en-y anastomosis using the da Vinci surgical system. Surg Laparosc Endosc Percutan Tech. 2007;17:538–41.
Klein MD, Langenburg SE, Lelli JL, Kabeer M, Lorincz A, Knight CG. Pediatric robotic surgery: lessons learned from a clinical experience. J Laparoendosc Adv Surg Tech A. 2007;17:265–71.
Meehan JJ, Elliott S, Sandler A. The robotic approach to complex hepatobiliary anomalies in children: preliminary report. J Pediatr Surg. 2007;42:2110–4.
Geiger JD. Robotic excision of choledochal cyst. In: Holcomb GW, Georgeson KE, Rothenberg SS, editors. Atlas of pediatric laparoscopy and thoracoscopy. Philadelphia: Saunders Elsevier; 2008. p. 211–5.
Akaraviputh T, Trakarnsanga A, Suksamanapun N. Robot-assisted complete excision of choledochal cyst type 1, hepaticojejunostomy and extracorporeal Roux-en-y anastomosis: a case report and review literature. World J Surg Oncol. 2010;8:87.
Alqahtani A, Albassam A, Zamakhshary M, Shoukri M, Altokhais T, Aljazairi A, Alzahim A, Mallik M, Alshehri A. Robot-assisted pediatric surgery: how far can we go? World J Surg. 2010;34:975–8.
Chang EY, Hong YJ, Chang HK, Oh JT, Han SJ. Lessons and tips from the experience of pediatric robotic choledochal cyst resection. J Laparoendosc Adv Surg Tech A. 2012;22:609–14.
Chong CCN, Lee KF, Wong J, Fong AKW, Wong JSW, Cheung SYS, Lai PBS. Robotic excision of adult choledochal cyst with total intra-corporeal reconstruction. Surg Pract. 2012;16:86–7.
de Lambert G, Fourcade L, Centi J, Fredon F, Braik K, Szwarc C, Longis B, Lardy H. How to successfully implement a robotic pediatric surgery program: lessons learned after 96 procedures. Surg Endosc. 2013;27:2137–44.
Carpenter SG, Grimsby G, De Masters T, Katariya N, Hewitt WR, Moss AA, Reddy KS, Castle EP, Mulligan DC. Robotic resection of choledochocele in an adult with intracorporeal hepaticojejunostomy and roux-en-Y anastomosis: encouraging progress for robotic surgical treatment of biliary disease. J Robotic Surg. 2014;8:77–80.
Chang J, Walsh RM, El-Hayek K. Hybrid laparoscopic-robotic management of a type Iva choledochal cyst in the setting of prior roux-en-Y gastric bypass: video case report and review of the literature. Surg Endosc. 2015;29:1648–54.
Kim NY, Chang EY, Hong YJ, Park S, Kim HY, Bai SJ, Han SJ. Retrospective assessment of the validity of robotic surgery in comparison to open surgery for pediatric choledochal cyst. Yonsei Med J. 2015;56:737–43.
Naitoh T, Morikawa T, Tanaka N, Aoki T, Ohtsuka H, Okada T, Sakata N, Ohnuma S, Nakagawa K, Hayashi H, Musha H, Yoshida H, Motoi F, Katayose Y, Unno M. Early experience of robotic surgery for type I congenital dilatation of the bile duct. J Robotic Surg. 2015;9:143–8.
Wen Z, Liang H, Liang J, Liang Q, Xia H. Evaluation of the learning curve of laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy in children: CUSUM analysis of a single surgeon’s experience. Surg Endosc. 2016; doi:10.1007/s00464-016-5032-5.
Meehan JJ, Sandler A. Pediatric robotic surgery: a single-institutional review of the first 100 consecutive cases. Surg Endosc. 2008;22:177–82.
Santore MT, Behar BJ, Blinman TA, Doolin EJ, Hedrick HL, Mattei P, Nance ML, Adzick NS, Flake AW. Hepaticoduodenostomy vs hepaticojejunostomy for reconstruction after resection of choledochal cyst. J Pediatr Surg. 2011;46:209–13.
Narayanan SK, Chen Y, Narasimhan KL, Cohen RC. Hepaticoduodenostomy versus hepaticojejunostomy after resection of choledochal cyst: a systematic review and meta-analysis. J Pediatr Surg. 2013;48:2336–42.
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Alizai, N.K., Dawrant, M.J., Najmaldin, A.S. (2017). Robot Assisted Surgery for Choledochal Cyst. In: Mattioli, G., Petralia, P. (eds) Pediatric Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-41863-6_15
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