• Choledochal cysts are treated by surgical excision of the cyst with the formation of a roux-en-Y anastomosis hepaticojejunostomy/ choledochojejunostomy to the biliary duct. (wikipedia.org)
  • A recent article published in the Journal of Surgery suggested that choledochal cysts could also be treated with single-incision laparoscopic hepaticojejunostomy with comparable results and less scarring. (wikipedia.org)
  • This retrospective study included 6 children with choledochal cyst who underwent initial US-guided percutaneous external drainage and subsequent cyst excision with Roux-en-Y hepaticojejunostomy between January 2021 and September 2022. (biomedcentral.com)
  • All patients underwent laparoscopic cyst excision and hepaticojejunostomy in our center. (biomedcentral.com)
  • Laparoscopic cyst excision and Roux-Y hepaticojejunostomy are the main methods for the treatment of CDC [ 1 ]. (biomedcentral.com)
  • All patients underwent laparoscopic cyst excision and hepaticojejunostomy by the same group of experienced physicians in our center. (biomedcentral.com)
  • 4) Laparoscopic ductoplasty was not performed in hepaticojejunostomy when the diameter of the common hepatic duct (CHD) was narrowed. (biomedcentral.com)
  • Currently, open Roux-en-Y hepaticojejunostomy (RYHJ) is the most preferred method. (e-jmis.org)
  • Many authors believe that they are congenital because most of the cysts are diagnosed in infants and children. (medscape.com)
  • Choledochal cysts (a.k.a. bile duct cyst) are congenital conditions involving cystic dilatation of bile ducts. (wikipedia.org)
  • Congenital dilatation of the bile ducts (choledochal cyst/CDD) result in bile retention, with cholangitis, pancreatitis and malignancies as associated complications. (biomedcentral.com)
  • Choledochal cysts, are rare congenital dilations (enlargements) of the bile ducts, a biliary tube that drains bile produced by the liver into small intestine for food digestion. (iswantosucandyliversurgery.com)
  • Choledochal cyst (CC)-a congenital anomaly of the bile duct-is rare. (springeropen.com)
  • Choledochal cysts (CCs) are rare congenital dilatations of the biliary system. (jiaps.com)
  • He has interest in clinical outcomes for patients with biliary dyskinesia treated with laparoscopic cholecystectomy compared to patients with gallstones treated in the same fashion. (viictr.org)
  • Open cholecystectomy was performed in 143 patients, and laparoscopic cholecystectomy was performed in 26 patients. (jamanetwork.com)
  • Both open and laparoscopic cholecystectomy are safe and effective procedures in children. (jamanetwork.com)
  • The video shows a laparoscopic cholecystectomy. (medtube.net)
  • We present case of 43-year-old-female with Bismuth type 2 stricture following laparoscopic converted open cholecystectomy with bile duct injury done elsewhere. (e-jmis.org)
  • A minimally invasive technique, especially the laparoscopic approach, is used by surgeons primarily for type 1 and 2 strictures but has yet to gain popularity due to the technical challenges encountered, mainly during reconstruction. (e-jmis.org)
  • This study aimed to screen the impact factors for clinical symptoms of prenatally diagnosed choledochal cysts (CDCs), to warn about the occurrence of clinical symptoms and the timing of surgery. (biomedcentral.com)
  • 0.001, respectively) and larger maximum diameter of cyst before surgery ( P = 0.012). (biomedcentral.com)
  • Prenatal ultrasonogram when the cyst was first detected, abdominal ultrasound and laboratory tests within 1 week of life, abdominal ultrasound, computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP) and laboratory tests before surgery, as well as intraoperative cholangiogram were collected. (biomedcentral.com)
  • The aim was to investigate the characteristics, surgical management, and outcomes of asymptomatic patients with antenatally diagnosed choledochal cysts (ADCCs) and to justify the strategy of laparoscopic surgery (LS) for them in our hospital. (biomedcentral.com)
  • For symptomatic ADCCs, the policy of laparoscopic surgery (LS) involvement is the same as that of traditional OS. (biomedcentral.com)
  • General & Laparoscopic Surgery is a discipline that requires knowledge of and responsibility for the preoperative, operative, and postoperative management of patients with a broad spectrum of diseases, including those which may require nonoperative, elective, or emergency surgical treatment. (hanumankhoja.com)
  • Various treatment options are available for the management of PP, such as open surgery, per-cutaneous drainage, laparoscopic and endoscopic cystogastrostomy. (sivahospital.com)
  • Laparoscopic repair has not gained popularity due to difficult reconstruction. (e-jmis.org)
  • Roux-en-Y Hepatico-jejunostomy is the standard technique of biliary reconstruction after excision of choledochal cyst. (scirp.org)
  • A. Shimotakahara, A. Yamataka, T. Yanai, H. Kobayashi, T. Okazaki, G. J. Lane and T. Miyano, "Roux-en-Y Hepa tico-Jejunostomy for Biliary Reconstruction during the Surgical Treatment of Choledochal Cyst: Which Is Better? (scirp.org)
  • In cases of saccular type of cyst, excision and placement of T-shaped tube is done. (wikipedia.org)
  • Case presentation of a Todani´s type Ia choledochal cyst. (sages.org)
  • Regarding the anatomic classification of choledochal cyst, in 1977, Todani et al modified the classic Alonso-Lej classification by adding two new types (types IV and V). (medscape.com)
  • The most accepted classification system of biliary cysts, the Todani classification, does not include this lesion. (wikipedia.org)
  • The patient was successfully managed by endoscopic external biliary drainage followed by complete cyst excision. (springeropen.com)
  • Classification was based on site of the cyst or dilatation. (wikipedia.org)
  • Choledochal cysts are abnormal cystic dilatation of the bile duct. (sgh.com.sg)
  • citation needed] In older individuals, choledochal cysts are more likely to cause abdominal pain and intermittent episodes of jaundice and occasionally cholangitis (inflammation within the bile ducts caused by the spread of bacteria from the intestine into the bile ducts). (wikipedia.org)
  • Type IVb Choledochal Cyst: This type presents as multiple dilatations involving only the extrahepatic bile ducts. (iswantosucandyliversurgery.com)
  • As a special entity of infantile choledochal cysts (CCs), ADCCs are known as a stenotic distal bile duct or blind-ending cyst, and cholestatic jaundice, liver fibrosis and cirrhosis start from an early stage of life [ 3 ]. (biomedcentral.com)
  • Department has expertise in performing both open and laparoscopic GI procedures. (ap.nic.in)
  • After the cyst was excised, the cut edges of the cyst was sutured to the duodenum mucosa forming a continuous surface. (utoronto.ca)
  • The purpose of this study was to analyze the outcomes of the combination of ultrasound (US)-guided percutaneous external drainage and subsequent definitive operation to manage complicated choledochal cyst in children. (biomedcentral.com)
  • Four patients (4/6) had a giant choledochal cyst with the widest diameter of ≥ 10 cm and underwent US-guided percutaneous biliary drainage on admission or after conservative treatments. (biomedcentral.com)
  • Our detailed analysis of this small cohort suggests that US-guided percutaneous external drainage is technically feasible for choledochal cyst with giant cysts or coagulopathy in children, which may provide suitable conditions for subsequent definitive operation with a good prognosis. (biomedcentral.com)
  • citation needed] Currently, there is no accepted indication for fetal intervention in the management of prenatally suspected choledochal cysts. (wikipedia.org)
  • Type IVa Choledochal Cyst: This type presents as multiple dilatations of the intrahepatic and extrahepatic biliary tree. (iswantosucandyliversurgery.com)
  • He also has ongoing projects evaluating clinical outcomes in patients with perforated appendicitis, spontaneous pneumothorax, and in patients with ITP undergoing laparoscopic splenectomy. (viictr.org)
  • In 1969, Babbitt et al carefully analyzed the cholangiograms of patients with choledochal cysts and found many with an anomaly of the pancreaticobiliary junction. (medscape.com)
  • Included access types were percutaneous endoscopic gastrostomy (PEG), open or laparoscopic gastrostomy, laparoscopic jejunostomy, and percutaneous gastrostomy (perc-G), percutaneous jejunostomy , or primary gastrojejunostomy. (bvsalud.org)
  • Choledochal cysts (CCs) are abnormal dilatations of the biliary system. (jiaps.com)
  • Operative management included cyst excision and hepatojejunostomy in 25 patients, cyst jejunostomy in two patients, cystduodenostomy in one patient, and choledochocele excision in one patient. (jamanetwork.com)
  • Type VI: An isolated cyst of the cystic duct is an extremely rare lesion. (wikipedia.org)
  • Because inflammation around the pancreas head was too severe to perform cyst excision safely, the patient underwent subtotal stomach-preserving pancreatoduodenectomy. (springeropen.com)
  • To the best of our knowledge, this is the 11th pediatric case report of a Type VI choledochal cyst. (jiaps.com)
  • Sushma A, Redkar R, Sharma RD, Singh S, Thakur S, George AM. Type VI choledochal cyst - An emerging rare entity (11th pediatric case of type VI) with a review of literature. (jiaps.com)
  • Type II: These cysts are present as an isolated diverticulum protruding from the CBD. (wikipedia.org)
  • Benefits of the new surgical technique are total absence of Roux-en-Y related intestinal complications. (scirp.org)
  • Left untreated, choledochal cyst frequently leads to recurrent biliary infection, biliary stasis, or pancreatitis (inflammation of the pancreas) and ultimacalltoy causes biliary cancer from the chronic inflammatory state. (iswantosucandyliversurgery.com)
  • Laparoscopic surgeries involve much smaller tools, including tiny cameras that let the surgeon see what's going on inside your body. (hanumankhoja.com)
  • Nineteen cases were excluded due to a modified diagnosis confirmed by intraoperative laparoscopy and cholangiography, with 15 cases of cystic biliary atresia, 1 case of omental cyst, 1 case of ovarian cyst, 1 case of intestinal duplication cyst and 1 case of duodenal atresia. (biomedcentral.com)