Analysis of middle/long-term complications after laparoscopic choledochal cyst radical excision: a summary of treatment experiences

Abstract

Objective To explore the middle/long-term complications of laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy at a single institute. Methods Retrospective analyses were performed for 378 cases from March 2012 to June 2018. There were 72 boys and 306 girls. Middle/long-term complications occurred after Day 14 postoperatively. Results Thirty-one cases developed middle/long-term complications, included biliary leakage (n=9, 2.4%), anastomotic stenosis (n=7, 1.9%), pancreatitis (n=5, 1.3%), non-bile ascites (n=3, 0.8%), liver dysfunction (n=3, 0.8%), intestinal adhesion & obstruction (n=2, 0.5%), intraperitoneal hernia (n=1, 0.3%) and stress gastric spasm (n=1, 0.3%). Conclusions After over a decade of development, laparoscopic correction of congenital choledochal cyst has become a routine procedure at many domestic pediatric surgical institutes. Clinicians should not only focus on ameliorating surgical procedures, but also pay great attention to the follow-up of middle/long-term complications for enriching experiences and reducing the incidence of complications. Key words: Laparoscopes; Choledochal cyst; Anastomosis, Roux-en-Y; Postoperative complications