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. 2023 Feb 14;10(2):373.
doi: 10.3390/children10020373.

Choledochal Cyst Excision in Infants-A Retrospective Study

Adam Kowalski  1 , Grzegorz Kowalewski  1 , Piotr Kaliciński  1 , Katarzyna Pankowska-Woźniak  1 , Marek Szymczak  1 , Hor Ismail  1 , Marek Stefanowicz  1
Affiliations

Choledochal Cyst Excision in Infants-A Retrospective Study

Adam Kowalski et al. Children (Basel). .

Abstract

A choledochal cyst is a rare malformation primarily diagnosed in children. The only effective therapy remains surgical cyst resection followed by Roux-en-Y hepaticojejunostomy. Treating asymptomatic neonates remains a point of discussion. Between 1984 and 2021, we performed choledochal cyst (CC) excision in 256 children at our center. Out of this group, we retrospectively reviewed the medical records of 59 patients who were operated on under one year of age. Follow-up ranged from 0.3 to 18 years (median 3.9 years). The preoperative course was asymptomatic in 22 (38%), while 37 patients (62%) had symptoms before surgery. The late postoperative course was uneventful in 45 patients (76%). In symptomatic patients, 16% had late complications, while in asymptomatic patients, only 4%. Late complications were observed in the laparotomy group in seven patients (17%). We did not observe late complications in the laparoscopy group. Early surgical intervention is not followed by a high risk of complications and may prevent the onset of preoperative complications, giving excellent early and long-term results, especially after minimally invasive laparoscopic surgery.

Keywords: choledochal cyst; choledochal cyst in infants; laparoscopic choledochal cyst resection; laparoscopic hepatobiliary surgery.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Port placement: 10 mm port for 30° laparoscope in the umbilicus (1), and three device ports of 3–5 mm (2–4). Transcutaneous sutures for the elevation of the falciform ligament (A) and gallbladder (B).
Figure 2
Figure 2
The formation of an end-to-side hepaticojejunostomy with interrupted monofilament absorbable sutures.
Figure 3
Figure 3
Number of patients with prenatal diagnosis.
See this image and copyright information in PMC

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