Laparoscopic management of choledochal cysts in infants and children: A review of current practice
Corresponding Author
Edwin Kin-Wai Chan
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Author to whom all correspondence should be addressed.
Email: [email protected]
Search for more papers by this authorKim-Hung Lee
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorVicky Hei-Yi Wong
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorBess Siu-Yan Tsui
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorSammi Yuen-Shan Wong
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorKristine Kit-Yi Pang
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorJennifer Wai-Cheung Mou
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorPeter Yuk-Him Tam
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorCorresponding Author
Edwin Kin-Wai Chan
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Author to whom all correspondence should be addressed.
Email: [email protected]
Search for more papers by this authorKim-Hung Lee
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorVicky Hei-Yi Wong
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorBess Siu-Yan Tsui
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorSammi Yuen-Shan Wong
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorKristine Kit-Yi Pang
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorJennifer Wai-Cheung Mou
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorPeter Yuk-Him Tam
Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
Search for more papers by this authorAbstract
Aim
Choledochal cyst is characterized by congenital dilatation of the biliary system. Patients with choledochal cyst tend to be symptomatic in their childhood. The aim of this study was to review the current practice in laparoscopic management of choledochal cyst in infants and children.
Patients and Methods
A PubMed database search was performed for all the studies on children who underwent laparoscopic excision of choledochal cyst. Additional literature was cited second hand from the first-tier literatures.
Results
Studies on i) laparoscopic excision of choledochal cyst and hepaticojejunostomy in children; ii) laparoscopic management of choledochal cyst in antenatally detected choledochal cyst; iii) single incision laparoscopic surgery (SILS) in children with choledochal cyst; iv) robotic assisted laparoscopic surgery in children with choledochal cyst and v) hepaticoduodenostomy in children with choledochal cyst were reviewed.
Conclusions
Laparoscopic excision of choledochal cyst and hepaticojejunostomy remains safe and feasible in children and infants. In centers experienced in MIS, SILS and robotic–assisted laparoscopy in the management of children with choledochal cyst were reported to be an alternative approach. The debate on hepaticoduodenostomy versus hepaticojejunostomy in biliary reconstruction will continue until a longterm outcome is available in the future.
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