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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2016, Number 1

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An Med Asoc Med Hosp ABC 2016; 61 (1)

Laparoscopic choledochal cyst excision in children

Acevedo PD, Ramírez RMM

Language: Spanish
References: 24
Page: 48-52
PDF size: 260.37 Kb.


ABSTRACT

Introduction: Choledochal cysts have a low incidence in Western countries. Although considered benign, they are associated with malignancy, cholangitis, pancreatitis, and cholelithiasis. Their clinical presentation may vary, delaying diagnosis. New technologies in imaging and laparoscopic surgery have generated controversy regarding the recommended diagnostic technique and surgical management. They are usually diagnosed in childhood, although in utero and adult diagnosis are also common. The first case report of laparoscopic surgery for a choledochal cyst was published in 1995, but it was not until May 2015 that an international, multicenter database was published of patients operated between 1972 and 2014, where only 36 people underwent laparoscopic surgery; it demonstrated that minimally invasive surgery is a feasible and safe approach in the pediatric population. Objective: To present the clinical and radiological characteristics, and the surgical management of a three-year-old female patient with type I choledochal cyst.


REFERENCES

  1. Lee HK, Park SJ, Yi BH, Lee AL, Moon JH, Chang YW. Imaging features of adult choledochal cysts: a pictorial review. Korean J Radiol. 2009; 10 (1): 71-80.

  2. Ziegler KM, Pitt HA, Zyromski NJ, Chauhan A, Sherman S, Moffatt D et al. Choledochoceles: are they choledochal cysts? Ann Surg. 2010; 252 (4): 683-690.

  3. Huang CS, Huang CC, Chen DF. Choledochal cyst: differences between pediatric and adult patients. J Gastrointest Surg. 2010; 14 (7): 1105-1110.

  4. Rozel C, Garel L, Rypens F, Viremouneix L, Lapierre C, Décarie JC et al. Imaging of biliary disorders in children. Pediatr Radiol. 2011; 41 (2): 208-220.

  5. Gong L, Qu Q, Xiang X, Wang J. Clinical analysis of 221 cases of adult choledochal cysts. Am Surg. 2012; 78 (4): 414-418.

  6. Okada A, Higaki J. Pancreatitis associated with cho1edochal cyst and other anomalies in childhood. Br J Surg. 1995; 82 (6): 829-832.

  7. Shah OJ, Shera AH, Zargar SA, Shah P, Robbani I, Dhar S et al. Choledochal cysts in children and adults with contrasting profiles: 11-year experience at a tertiary care center in Kashmir. World J Surg. 2009; 33 (11): 2403-2411.

  8. Hill SJ, Clifton MS, Derderian SC, Wulkan ML, Ricketts RR. Cystic biliary atresia: a wolf in sheep’s clothing. Am Surg. 2013; 79 (9): 870-872.

  9. Murphy AJ, Axt JR, Crapp SJ, Martin CA, Crane GL, Lovvorn HN 3rd. Concordance of imaging modalities and cost minimization in the diagnosis of pediatric choledochal cysts. Pediatr Surg Int. 2012; 28 (6): 615-621.

  10. Vegting IL, Tabbers MM, Taminiau JA, Aronson DC, Benninga MA, Rauws EA. Is endoscopic retrograde cholangiopancreatography valuable and safe in children of all ages? J Pediatr Gastroenterol Nutr. 2009; 48 (1): 66-71.

  11. Huang CT, Lee HC, Chen WT, Jiang CB, Shih SL, Yeung CY. Usefulness of magnetic resonance cholangiopancreatography in pancreatobiliary abnormalities in pediatric patients. Pediatr Neonatol. 2011; 52 (6): 332-336.

  12. Diao M, Li L, Cheng W. Timing of surgery for prenatally diagnosed asymptomatic choledochal cysts: a prospective randomized study. J Pediatr Surg. 2012; 47 (3): 506-512.

  13. Narayanan SK, Chen Y, Narasimhan KL, Cohen RC. Hepaticoduodenostomy versus hepaticojejunostomy after resection of choledochal cyst: a systematic review and meta-analysis. J Pediatr Surg. 2013; 48 (11): 2336-2342.

  14. Takeshita N, Ota T, Yamamoto M. Forty-year experience with flow-diversion surgery for patients with congenital choledochal cysts with pancreaticobiliary maljunction at a single institution. Ann Surg. 2011; 254 (6): 1050-1053.

  15. Farello GA, Cerofolini A, Rebonato M, Bergamaschi G, Ferrari C, Chiappetta A. Congenital choledochal cyst: video-guided laparoscopic treatment. Surg Laparosc Endosc. 1995; 5 (5): 354-358.

  16. Liuming H, Hongwu Z, Gang L, Jun J, Wenying H, Wong KK et al. The effect of laparoscopic excision vs open excision in children with choledochal cyst: a midterm follow-up study. J Pediatr Surg. 2011; 46 (4): 662-665.

  17. Yamataka A, Lane GJ, Cazares J. Laparoscopic surgery for biliary atresia and choledochal cyst. Semin Pediatr Surg. 2012; 21 (3): 201-210.

  18. Aspelund G, Ling SC, Ng V, Kim PC. A role for laparoscopic approach in the treatment of biliary atresia and choledochal cysts. J Pediatr Surg. 2007; 42 (5): 869-872.

  19. Margonis GA, Spolverato G, Kim Y, Marques H, Poultsides G, Maithel S et al. Minimally invasive resection of choledochal cyst: a feasible and safe surgical option. J Gastrointest Surg. 2015; 19 (5): 858-865.

  20. Nguyen Thanh L, Hien PD, Dung le A, Son TN. Laparoscopic repair for choledochal cyst: lessons learned from 190 cases. J Pediatr Surg. 2010; 45 (3): 540-544.

  21. Lee KH, Tam YH, Yeung CK, Chan KW, Sihoe JD, Cheung ST et al. Laparoscopic excision of choledochal cysts in children: an intermediate-term report. Pediatr Surg Int. 2009; 25 (4): 355-360.

  22. Tian Y, Wu SD, Zhu AD, Chen DX. Management of type I choledochal cyst in adult: totally laparoscopic resection and Roux-en-Y hepaticoenterostomy. J Gastrointest Surg. 2010; 14 (9): 1381-1388.

  23. Ono S, Fumino S, Shimadera S, Iwai N. Long-term outcomes after hepaticojejunostomy for choledochal cyst: a 10- to 27-year follow-up. J Pediatr Surg. 2010; 45 (2): 376-378.

  24. Ziegler KM, Zyromski NJ. Choledochoceles: are they choledochal cysts? Adv Surg. 2011; 45: 211-224.




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