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Published in: Pediatric Surgery International 4/2013

01-04-2013 | Review Article

Role of laparoscopy in treatment of choledochal cysts in children

Authors: Mei Diao, Long Li, Wei Cheng

Published in: Pediatric Surgery International | Issue 4/2013

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Abstract

Laparoscopy enables surgeons to approach the surgical conditions from a new perspective. Laparoscopic surgery has revolutionized the treatment of choledochal cysts (CDC). Yet, this new technique requires objective evaluations. We have examined the controversies about the CDC dissection, distal common bile duct ligation, ductoplasty for hepatic duct stenosis, intrahepatic duct and common channel protein plug clearance, timing of surgery for antenatally diagnosed CDC, and the Roux loop length in CDC children. In the hands of experts, laparoscopic excision of the cyst and Roux-en-Y hepaticojejunostomy is a safe and effective approach. We provide our opinions on these issues based on our experience and publications. We conclude that the main outcomes comparable to those of the open surgery. The better wound cosmesis and reduction of surgical trauma are the advantages.
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Metadata
Title
Role of laparoscopy in treatment of choledochal cysts in children
Authors
Mei Diao
Long Li
Wei Cheng
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Pediatric Surgery International / Issue 4/2013
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-013-3266-z

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