Abstract
Presenter: Domenech Asbun MD | Mayo Clinic, Florida Background: Choledochal cysts are rare congenital abnormalities that result in cystic dilations of the bile ducts. They harbor potential for complications including cholangitis and malignant degeneration to cholangiocarcinoma. They are treated with surgical excision. Methods: We performed a laparoscopic excision of a large choledochal cyst involving the entire common hepatic and common bile duct. The patient is a 19 year old female. An intraoperative video recording of the operation is presented. Results: The cyst was successfully excised in its entirety through a laparoscopic approach. Biliary tract continuity is re-established through a Roux-en-Y hepaticojejunostomy, also performed laparoscopically. The case lasted approximately four and a half hours, with 100 mL of blood loss. Conclusion: Laparoscopic surgical excision of choledochal cysts with biliary reconstruction is safe and feasible. We demonstrate our approach to the procedure in a young patient with a large cyst.
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