Abstract
Objectives: 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.Results: There were 710 patients with a median follow-up of29.1 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 were6.9 and 4% respectively.Conclusion: The laparoscopic repair of choledochal cyst is safe and feasible in children with early- and mid-term complication rates similar to open surgery.
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