| ORIGINAL ARTICLE
|Year : 2017 | Volume
| Issue : 4 | Page : 261-264
Laparoscopic excision of the choledochal cyst in adult patients: An experience
Hirdaya Hulas Nag1, Kshitij Sisodia1, Pushap Sheetal1, Hari Govind1, Som Chandra2
1 Department of GI Surgery, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, India
2 Department of Anaesthesia, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, India
Background: Laparoscopic choledochal cyst excision (LCCE) in adult patients is not common.
Aims: The aim is to report our experience of LCCE in adult patients.
Patients and Methods: This study includes a retrospective review of twenty adult patients (age >18 years) with choledochal cyst (CC) who underwent LCCE by a single surgical team from February 2011 to April 2016.
Results: The mean age was 45.5 years. Nineteen (95%) patients had Type-I CC, and one patient (5%) had Type-IV CC (Todani's classification). Fifteen patients (75%) presented with pain in the abdomen, and five patients (25%) presented with jaundice and/or cholangitis. LCCE was successful in 16 (80%) patients, whereas four patients (20%) required conversion to open method. The reason for conversion was technical difficulty due to the initial learning curve, adhesion and inflammation. The mean blood loss, operation time and post-operative stay were 117.5 ml, 299.5 min and 8.15 days, respectively. Bilioenteric anastomosis leak and formation of pseudoaneurysm occurred in one patient (5%); this patient later died due to uncontrolled intra-abdominal haemorrhage. There were no remote complications during a mean follow-up of 17.2 months.
Conclusion: LCCE in adult patients is safe and feasible, but bilioenteric anastomosis leak may have fatal consequences.
Hirdaya Hulas Nag
Room No. 220, Department of GI Surgery, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi - 110 002
Source of Support: None, Conflict of Interest: None
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