World Journal of Laparoscopic Surgery

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VOLUME 5 , ISSUE 2 ( May-August, 2012 ) > List of Articles

REVIEW ARTICLE

Laparoscopic Repair for Choledochal Cyst in Children: Current Status

Ruiz C Hierro

Citation Information : Hierro RC. Laparoscopic Repair for Choledochal Cyst in Children: Current Status. World J Lap Surg 2012; 5 (2):76-79.

DOI: 10.5005/jp-journals-10007-1154

Published Online: 01-08-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objectives

To determine feasibility and outcome of laparoscopic repair of choledochal cyst in pediatric age.

Materials and methods

A literature search was performed on choledochal cyst and laparoscopic repair in children using PubMed database to extract data related to age, gender, technical details, operative time, conversion rate, intraoperative complications, hospital stay, early and mid-term complications and outcome.

Results

There were 710 patients with a median follow-up of 29.1 months; the median age was 4.3 years and 73.4% were women. The choledochal cysts were classified as type I of Todani's classification in 74% of cases and in all of them a laparoscopic excision and hepaticoenterostomy was carried out. The mean operative time was 265 minutes and the conversion rate to open surgery was 2.4%. The mean postoperative hospital stay was 6.5 days and the early and late complications were 6.9 and 4% respectively.

Conclusion

The laparoscopic repair of choledochal cyst is safe and feasible in children with early- and mid-term complication rates similar to open surgery.

How to cite this article

Hierro RC. Laparoscopic Repair for Choledochal Cyst in Children: Current Status. World J Lap Surg 2012;5(2):76-79.


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