Anthony Chin, MD; Steven S. Rothenberg, MD
Introduction: A ten year old female presents with a 7 year history of abdominal colic and vomiting. This had increased in intensity over the last year and associated with mild jaundice (Total bilirubin =4.4 mg/dL). Her diagnostic workup revealed a choledochal cyst.
Methods: Through a total abdominal intracorporeal technique, the choledochal cyst was excised. The bilary system was then reconstructed with a Roux-en-Y choledochal jejunostomy.
Results: The patient recovered well and was discharged home on post-operative day 5. She had complete resolution of her symptoms and normalization of her bilirubin levels.
Conclusion: Total intracorporeal laparoscopic excision of a choledochal cyst is feasible and safe in the pediatric patient. It should be considered as an alternative approach to the surgical management a choledochal cyst.