Laparoscopic management of pediatric choledochal cysts in developing countries: review of ten cases

摘要: We report laparoscopic management of choledochal cysts (CDC) in 10 children. dissect the CDC using conventional mono- and bi-polar diathermy up to lower end, ligate or clip it at lowest possible level divide it. The proximal end is divided after leaving a sufficient cuff for anastomosis. In first three cases, we formally opened complete biliary-enteric However, subsequent seven made small midline incision develop Roux-en Y loop, anastomosis was then completed by intra-corporeal suturing re-creating pneumo-peritoneum. Apart from biliary leak one case, did not encounter any major complications. mean operative time 4.2 h. have discussed technical points study. conclude that eminently suitable correction; requires advanced skills expertise precise dissection meticulous restricted spaces. If case selection good if team experienced, can be effectively managed laparoscopy even without sophisticated equipment. wound- scar-related morbidity minimized.