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Totally laparoscopic management of choledochal cysts using a four-hole method

Cited 30 time in Web of Science Cited 33 time in Scopus
Authors
Jang, J-Y; Kim, S-W; Han, H-S; Yoon, Y-S; Han, S-S; Park, Y-H
Issue Date
2006-09-27
Citation
Surg Endosc. 2006 Nov;20(11):1762-5. Epub 2006 Sep 23
Keywords
AdolescentAdultAnastomosis, Roux-en-YBiliary Tract Surgical Procedures/methodsCholecystectomy, LaparoscopicCholedochal Cyst/*surgeryFemaleHumansLaparoscopy/*methodsMaleMiddle AgedPortoenterostomy, Hepatic/*methods
Abstract
BACKGROUND: Choledochal cyst is a rare benign disease of the biliary tract. However, once diagnosed, it must be excised with the gallbladder because of the risk for cancer developing in the biliary tree, including the gallbladder. This report introduces a new surgical technique for totally laparoscopic excision of choledochal cyst and hepaticojejunostomy using a four-hole method. METHODS: Between October 2003 and May 2005, the authors performed totally laparoscopic choledochal cyst excision for 12 patients. All the patients except one were women, and the mean age was 37.3 years (range, 17-62 years). According to the Todani classification, there were five type Ia cases, four type Ic cases, and three type IV cases. Choledochal cyst excision and Roux-en-Y hepaticojejunostomy were performed laparoscopically using the four-port technique. RESULTS: The mean operation time was 228 min (range, 150-330 min). No operative or postoperative transfusion was required. An oral diet was started on postoperative day 3. The average length of hospital stay was 5.8 days. There was no major complication associated with anastomosis leakage or obstruction. No patient had an adverse response, as determined by clinical or laboratory evaluation during a 2- to 19-month follow-up period. CONCLUSIONS: Considering that choledochal cyst is common among young women, who are especially interested in cosmetic results in addition to complete resolution of medical problems, the laparoscopic management of choledochal cyst may be an attractive treatment option.
ISSN
1432-2218 (Electronic)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17001443

http://hdl.handle.net/10371/16014
DOI
https://doi.org/10.1007/s00464-005-0565-z
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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