Laparoscopic cyst resection for congenital biliary dilatation: single center experience and lessons

Abstract

Objective To retrospectively review the experience and lessons of laparoscopic surgery for congenital biliary dilatation (CBD) in children. Methods Between June 2002 and December 2009, the clinical data of 65 children who had undergone laparoscopic CBD resection at this center were retrospectively reviewed. Intraoperative and postoperative complications were recorded. All patients were followed up after discharged from the hospital. Results Patients were followed up for 3 months to 7.5 years. The total resection of CBD and the intracorporeal hepaticoenterostomy were achieved in 64 children, of which 21 patients with biliary stenosis in the porta hepatis underwent ductoplasty. The conversion of laparoscopic surgery to open surgery occurred on 1 patient due to intrapancreatic choledochocele involved pancreas and duodenum. The intraoperative or perioperative complications were noted in 5 cases including portal vein injury in 1 case, temporary bile leakage in 2 cases, a torsion of the jejunal Roux loop in 1 case and stress ulcer in 1 case. One patient with a type Ⅳ cyst developed hepaticojejunal anastomotic stricture after surgery. Conclusions Laparoscopic surgery is safe and effective for congenital biliary dilatation resection in children. Key words: Congenital biliany dilation; Laparoscopy surgical procedures; Complication