Laparoscopic management of a choledochal cyst in a 5-year-old child
Epublication WebSurg.com, Apr 2015;15(04). URL: http://websurg.com/doi/vd01en4498
The laparoscopic treatment of a choledochal cyst begins with the dissection and the removal of the extrahepatic bile ducts (common duct and accessory duct). The type of biliodigestive anastomosis remains a matter of debate: either a hepaticojejunostomy using a Roux-en-Y anastomosis or a hepaticoduodenostomy can be envisaged. In case of Roux-en-Y anastomosis, the foot of the Roux limb is fashioned transumbilically, outside of the abdomen in case of infants and small children. When older, the procedures may be performed laparoscopically using an Endostapler.