Laparoscopic Management of Choledochal Cyst-Technical Modifications and Outcome Analysis

摘要: Choledochal cyst (CDC) is a well described albeit rare clinical entity. Complete excision with biliary-enteric reconstruction the recommended treatment for Todani type I, II, and IVA cysts to prevent complications. The aim of this study evaluate outcomes laparoscopic CDC from tertiary care center. This retrospective analysis prospectively collected data 110 patients who underwent I 1998 2013. Out patients, 55 were children ( 16 years) mean age 21.19 ± 17.75 years male:female ratio 1:2.14. Abdominal pain was most common presenting symptom (59.09 %). Surprisingly, 32.73 % adults presented incidentally detected cyst. Type (71.82 %) size 4.67 ± 1.59 cm. Blood loss (56.0 ± 16.62 vs. 76.55 ± 26.61 ml) operative time (199.8 ± 44.66 251.6 ± 54.25 min) significantly low in pediatric group. Three required conversion. Overall complication rate 10 %. Re-exploration 1.81 % one patient died post-operatively. Mean hospital stay (5.9 ± 1.39 7.0 ± 2.66 days). Median follow-up 60 months (8–110). Cholangitis developed six three having anastomotic stricture requiring intervention. Laparoscopic safe feasible. Surgery should be performed early as are better compared adults.