Laparoscopic hepaticojejunostomy for benign disease of CBD

Chowbey, P.K. (2002) Laparoscopic hepaticojejunostomy for benign disease of CBD. In: Congress of Endoscopic and Laparoscopic Surgeons of Asia, 2002 [ELSA 2002], 19-21 Sep 2002, Tokyo, Japan.

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Abstract

Management of choledochal cyst comprises excision of the cyst with a biliary enteric reconstruction. The procedure requires a certain level of technical expertise even in open surgery as the area of dissection involves the portal vein and hepatic artery. The patient population primarily involves children and adolescents. The degree of difficulty increases with increasing age of presentation and history of recurrent attack of cholangitis as adhesions between the cyst and portal vein, increase with each attack of inflammation. The procedure is well suited for a total minimal access approach as the laparoscopist is well versed with the biliary anatomy and the procedure does not involve any large / solid organ removal. The only drawbacks are the high degree of technical expertise required for dissection and anastomosis. Not much difference has been observed in the time taken for either open or minimal access approach. We, in our department have performed 5 such procedures on patients with age ranging from 5 years to 26 years. The total time taken was 280 + 40 min. The average hospital stay was 4 days, with oral resumption on day two of surgery. Bile was observed in the drain of four patients with biliary drains lasting from 24 hours to two weeks. Follow up maintained with all five patients is from 2-1/2 years to 2 months with all five patients doing well.

EPrint Type:Conference or Workshop Item (Paper)
Uncontrolled Keywords:Choledochal Cyst, Biliary Enteric Reconstruction, Cholangitis, Laparoscopy, Patients
Subjects:Digestive System > Gastrointestinal Tract
Surgical Procedures, Operative > Digestive System Surgical Procedures
Therapeutics > Patient Care
Persons > Patients
Digestive System Diseases > Digestive System Abnormalities > Choledochal Cyst
-Institutional Repositories > Sir Ganga Ram Hospital, New Delhi
Health Services Administration > Patient Care Management
Surgical Procedures, Operative > Surgical Procedures, Minimally Invasive > Endoscopy > Laparoscopy
ID Code:2459
Deposited By:Sir Ganga Ram Hospital
Deposited On:19 November 2007

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