World Journal of Laparoscopic Surgery

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


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: 01-12-2014

Copyright Statement:  Copyright © 2012; The Author(s).



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.


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.


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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  1. Management of choledochal cyst: 30 years of experience and results in a single center. J Pediatr Surg 2009;44(12):2307-11.
  2. Choledochal cysts. Part 3 of 3: Management. Can J Surg 2010;53(1):51.
  3. Laparoscopic repair for choledochal cyst: Lessons learned from 190 cases. J Pediatr Surg 2010;45(3):540-44.
  4. Laparoscopic excision of choledochal cysts in children: An intermediate-term report. Pediatr Surg Int 2009;25:355-60.
  5. Congenital bile duct cysts. Classification, operative procedures and review of thirtyseven cases including cancer arising from choledochal cyst. Am J Surg 1977;134:263-69.
  6. Laparoscopic excision of a rare type II choledochal cyst: Case report and review of the literature. J Pediatr Surg 2000;35(7):1117-19.
  7. Totally laparoscopic management of choledochal cyst: Roux-en-Y jejunojejunostomy and wide hepaticojejunostomy with hilar ductoplasty. J Laparoendosc Adv Surg Tech A 2011;21(4):361-66.
  8. Laparoscopic management of choledochal cysts: Technique and outcomes—a retrospective study of 35 patients from a tertiary center. J Am Coll Surg 2008;207(6):839-46.
  9. Laparoscopic management of pediatric choledochal cyst in developing countries: Review of ten cases. Pediatr Surg Int 2006;22:144-49.
  10. Laparoscopic total intracorporeal correction of choledochal cyst in pediatric population. J Laparoendosc Adv Surg Tech A 2009;19(5):683-86.
  11. Laparoscopic resection of type 1 choledochal cysts in pediatric patients. Surg Endosc 2006;20:249-51.
  12. Laparoscopic surgery for choledochal cyst in children: A case review of 31 patients. Eur J Pediatr Surg 2008;18(2):67-71.
  13. The effect of laparoscopic excision vs open excision in children with choledochal cyst: A midterm follow-up study. J Pediatr Surg 2011;46:662-65.
  14. Laparoscopic choledochal cyst excision, hepaticojejunostomy, and extracorporeal Roux-en-Y anastomosis: A technical skill and intermediate-term report in 62 cases. Surg Endosc 2011;25:416-22.
  15. Laparoscopic treatment of congenital choledochal cyst. Surg Endosc 1998;12:1268-71.
  16. Is the laparoscopic operation as safe as open operation for choledochal cyst in children? J Laparoendosc Adv Surg Tech A 2011;21:367-70.
  17. Congenital choledochal cyst: Video-guided laparoscopic treatment. Surg Laparosc Endosc 1995;5:354-58.
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