Robotic Excision of Choledochal Cyst with Hepaticoduodenostomy (HD): Report of HD Technique, Initial Experience, and Early Outcome.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
Saalim NazkiRam Samujh

Abstract

 Minimal access surgical approach to choledochal cyst (CC) is becoming a standard of care in pediatric age group. Robotic-assisted excision of CC is increasingly being practiced at centers which have access to the system. We present our experience and technique of hepaticoduodenostomy (HD). Over all initial experience, short-term outcomes and complications are also presented and discussed.  Patients with CC and undergoing robotic excision were retrospectively studied. Patients with active cholangitis, liver dysfunction, and perforated CC were excluded for robotic procedures. All included patients were preoperatively evaluated as per the defined protocol. They underwent excision of CC with HD. The duodenal anastomosis was done after limited mobilization and emphasis was laid on anastomosing the distal D2 part to the common hepatic duct. This prevents bile reflux into stomach. The follow-up evaluation was done for these patients. Hepatobiliary iminodiacetic acid (HIDA) scan for duodenogastric reflux (DGR) was done only if patients reported symptoms related to it.  A total of 19 patients (10 females) were studied. The mean age was 84 months. Type 1b was present in 12 patients and the rest were type IVb. Complete cyst excision with...Continue Reading

References

May 2, 2006·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Russell WooStephen S Kim
Dec 18, 2007·Journal of Pediatric Surgery·John J MeehanAnthony Sandler
Feb 4, 2010·World Journal of Surgery·Aayed AlqahtaniAbdullah Alshehri
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Jul 7, 2011·Journal of Indian Association of Pediatric Surgeons·Biswanath MukhopadhyayKalyani Saha Basu
Jun 15, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Eun Young ChangSeok Joo Han
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Jan 25, 2014·Pediatric Surgery International·Naved K AlizaiAzad S Najmaldin
Sep 27, 2019·Pediatric Surgery International·Hiroyuki KogaAtsuyuki Yamataka

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Citations

Aug 18, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sachit AnandGursev Sandlas

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