Laparoscopic excision of congenital choledochal cyst in children and modified hepaticojejunostomy with an unequal length of the jejunal loop

Authors

  • Hou Guang Jun Zheng Zhou University, Zhengzhou, Henan, China
  • Geng Xian Jie Zheng Zhou University, Zhengzhou, Henan, China
  • Zhou Liang Zheng Zhou University, Zhengzhou, Henan, China
  • Liang Ying Zheng Zhou University, Zhengzhou, Henan, China
  • Liu Ru Zheng Zhou University, Zhengzhou, Henan, China
  • Li Peng Fei Zheng Zhou University, Zhengzhou, Henan, China
  • Ma Chun Miao Zheng Zhou University, Zhengzhou, Henan, China
  • Zhou Chong Chen Zheng Zhou University, Zhengzhou, Henan, China

DOI:

https://doi.org/10.3126/jpahs.v8i2.37692

Keywords:

Laparoscopic Congenital Choledochal Cyst, Hepaticojejunostomy, Roux-en-Y Biliary Enteric Reconstruction

Abstract

Introduction: Complete excision biliary-enteric reconstruction is necessary for a congenital choledochal cyst (CC) to prevent recurrent cholangitis, acute pancreatitis, and cholangiocarcinoma. Among various reconstructions, this study aims to evaluate the therapeutic effect of unequal length jejunal loop for the biliary reconstruction of congenital choledochal cyst.

Method: The clinical data of 56 cases of congenital choledochal cyst treated in the pediatric surgery department of Children's Hospital Affiliated to Zheng Zhou University were retrospectively analyzed. All cases were treated with choledochal cyst resection and unequal length jejunal loop biliary reconstruction, including 51 cases with laparoscopic surgery and 5 cases with traditional surgery.

Result: Choledochal cyst resection and unequal length jejunal loop biliary reconstruction were successfully completed in all cases. One case of laparoscopic operation developed biliary fistula on the 3rd day after the operation, and the biliary fistula healed after conservative treatment for 8 days. The other cases recovered smoothly without obvious complications. No contrast agent bile loop reflux was found in upper gastrointestinal angiography.

Conclusion: The modified jejunal loop biliary reconstruction has many advantages over the traditional biliary reconstruction, which is worthy of clinical application.

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Author Biographies

Hou Guang Jun, Zheng Zhou University, Zhengzhou, Henan, China

Professor, Department of General Surgery, Children's Hospital

Geng Xian Jie, Zheng Zhou University, Zhengzhou, Henan, China

Professor, Department of General Surgery, Children's Hospital

Zhou Liang, Zheng Zhou University, Zhengzhou, Henan, China

Assistant Professor, Department of General Surgery, Children's Hospital

Liang Ying, Zheng Zhou University, Zhengzhou, Henan, China

House Surgeon, Department of General Surgery, Children's Hospital

Liu Ru, Zheng Zhou University, Zhengzhou, Henan, China

Assistant Professor, Department of General Surgery, Children's Hospital

Li Peng Fei, Zheng Zhou University, Zhengzhou, Henan, China

House Surgeon, Department of General Surgery, Children’s Hospital

Ma Chun Miao, Zheng Zhou University, Zhengzhou, Henan, China

House Surgeon, Department of General Surgery, Children's Hospital

Zhou Chong Chen, Zheng Zhou University, Zhengzhou, Henan, China

Professor, Department of General Surgery, Children's Hospital

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Published

2021-06-10

How to Cite

Jun, H. G., Jie, G. X., Liang, Z., Ying, L., Ru, L., Fei, L. P., Miao, M. C., & Chen, Z. C. (2021). Laparoscopic excision of congenital choledochal cyst in children and modified hepaticojejunostomy with an unequal length of the jejunal loop. Journal of Patan Academy of Health Sciences, 8(2), 98–104. https://doi.org/10.3126/jpahs.v8i2.37692

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Section

General Section: Original Articles