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Laparoscopic total intracorporeal correction of choledochal cyst in pediatric population

Authors
 Soo Min Ahn  ;  Jang Yong Jun  ;  Woo Jung Lee  ;  Jung-Tak Oh  ;  Seok Joo Han  ;  Seung Hoon Choi  ;  Eui Ho Hwang 
Citation
 JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, Vol.19(5) : 683-686, 2009 
Journal Title
 JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES 
ISSN
 1092-6429 
Issue Date
2009
MeSH
Anastomosis, Surgical ; Biliary Tract Surgical Procedures/methods* ; Child ; Child, Preschool ; Cholangiopancreatography, Magnetic Resonance ; Choledochal Cyst/surgery* ; Dissection/methods ; Feasibility Studies ; Female ; Humans ; Infant ; Jejunostomy/methods ; Laparoscopy/methods* ; Prospective Studies ; Suture Techniques
Abstract
BACKGROUND: The laparoscopic correction of the choledochal cyst is an attractive treatment option. However, even the skilled surgeons do not prefer the intracorporeal jejunojejunal anastomosis due to the technical difficulties. In this article, we present the feasibility of laparoscopic total intracorporeal correction of the choledochal cyst, including the retrocolic Roux-en-Y hepaticojejunostomy and jejunojejunostomy. METHODS: A prospective review of 6 cases of consecutive laparoscopic surgery for choledochal cyst in the pediatric population from March 2007 to April 2008 was performed. All patients underwent laparoscopic excision of a choledochal cyst and total intracorporeal Roux-en-Y reconstructions. The intracoporeal jejunojejunostomy was made by introducing an endoscopic gastrointestinal anastomosis device (Endo-GIA; US Surgical, Norwalk, CT) through the umbilical port with hand-sewn reinforcement. We evaluated the patient's age at the time of operation, time taken for total operation, time taken for jejunojejunostomy, and intra- and postoperative events. RESULTS: All 6 cases were girls (age ranging from 4 months to 7 years). All had type I choledochal cyst. Five ports were utilized: one telescopic port at the umbilicus, one left subcostal port for liver retraction, two operating ports on the right flank and left side of the umbilicus, and one right-lower quadrant port for the assistant. The mean time for total operation was 275 + or - 58 minutes (range, 210-360). Total intracoroporeal jejunojejunostomy took 38 + or - 10 minutes (range, 25-55). All patients were symptom free during the median follow up of 3.5 months. CONCLUSION: In the pediatric population with choledochal cyst, total intracorporeal Roux-en-Y hepaticojejunostomy and jejunojejunostomy during laparoscopic surgery is feasible without the need for exteriorization of the bowel
Full Text
http://online.liebertpub.com/doi/abs/10.1089/lap.2008.0116
DOI
10.1089/lap.2008.0116
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Oh, Jung Tak(오정탁)
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Choi, Seung Hoon(최승훈)
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105152
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