Ruptured choledochal cyst: One-stage or two-stage, open or laparoscopic surgery?
Choledochal cyst (CDC) can present with complications such as cholangitis, perforation, pancreatitis and malignancy. Compared to the open technique for CDC, advantages of laparoscopic surgery are well known. Biliary peritonitis secondary to perforation/rupture of CDC is rare and is described in <...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=1;spage=138;epage=140;aulast=Ojha |
| _version_ | 1797904801022869504 |
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| author | Sunita Ojha Pooja Agarwala Ravi Sharma Lalit Bharadia |
| author_facet | Sunita Ojha Pooja Agarwala Ravi Sharma Lalit Bharadia |
| author_sort | Sunita Ojha |
| collection | DOAJ |
| description | Choledochal cyst (CDC) can present with complications such as cholangitis, perforation, pancreatitis and malignancy. Compared to the open technique for CDC, advantages of laparoscopic surgery are well known. Biliary peritonitis secondary to perforation/rupture of CDC is rare and is described in <2% of cases. In ruptured CDC, there are different approaches of management like peritioneal lavage, and biliary drainage by T-tube or Cholecystosomy/choledochostomy or endoscopic retrograde cholangiopancreatography stenting and definitive repair after 4–6 weeks as two-staged procedure. Laparoscopy is a procedure of technical challenge and complexity in ruptured CDC. We discuss here our experience of single-stage laparoscopic excision and biliary reconstruction in ruptured CDC. Child was stabilised by percutaneous drain and one-stage laparoscopic reconstruction was done on day 4, reducing the burden/morbidity of carrying biliary drain, length of stay and cost factor. To the best of our knowledge one-stage laparoscopy in ruptured CDC has not been reported earlier. |
| first_indexed | 2024-04-10T09:54:40Z |
| format | Article |
| id | doaj.art-cafc0edc1f9a4af9bef9342913610fcd |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-04-10T09:54:40Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-cafc0edc1f9a4af9bef9342913610fcd2023-02-16T12:42:07ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212023-01-0119113814010.4103/jmas.jmas_206_21Ruptured choledochal cyst: One-stage or two-stage, open or laparoscopic surgery?Sunita OjhaPooja AgarwalaRavi SharmaLalit BharadiaCholedochal cyst (CDC) can present with complications such as cholangitis, perforation, pancreatitis and malignancy. Compared to the open technique for CDC, advantages of laparoscopic surgery are well known. Biliary peritonitis secondary to perforation/rupture of CDC is rare and is described in <2% of cases. In ruptured CDC, there are different approaches of management like peritioneal lavage, and biliary drainage by T-tube or Cholecystosomy/choledochostomy or endoscopic retrograde cholangiopancreatography stenting and definitive repair after 4–6 weeks as two-staged procedure. Laparoscopy is a procedure of technical challenge and complexity in ruptured CDC. We discuss here our experience of single-stage laparoscopic excision and biliary reconstruction in ruptured CDC. Child was stabilised by percutaneous drain and one-stage laparoscopic reconstruction was done on day 4, reducing the burden/morbidity of carrying biliary drain, length of stay and cost factor. To the best of our knowledge one-stage laparoscopy in ruptured CDC has not been reported earlier.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=1;spage=138;epage=140;aulast=Ojhacomplicated choledochal cystlaparoscopy in ruptured choledochal cystone-stage surgery for ruptured choledochal cystruptured/perforated choledochal cyst |
| spellingShingle | Sunita Ojha Pooja Agarwala Ravi Sharma Lalit Bharadia Ruptured choledochal cyst: One-stage or two-stage, open or laparoscopic surgery? Journal of Minimal Access Surgery complicated choledochal cyst laparoscopy in ruptured choledochal cyst one-stage surgery for ruptured choledochal cyst ruptured/perforated choledochal cyst |
| title | Ruptured choledochal cyst: One-stage or two-stage, open or laparoscopic surgery? |
| title_full | Ruptured choledochal cyst: One-stage or two-stage, open or laparoscopic surgery? |
| title_fullStr | Ruptured choledochal cyst: One-stage or two-stage, open or laparoscopic surgery? |
| title_full_unstemmed | Ruptured choledochal cyst: One-stage or two-stage, open or laparoscopic surgery? |
| title_short | Ruptured choledochal cyst: One-stage or two-stage, open or laparoscopic surgery? |
| title_sort | ruptured choledochal cyst one stage or two stage open or laparoscopic surgery |
| topic | complicated choledochal cyst laparoscopy in ruptured choledochal cyst one-stage surgery for ruptured choledochal cyst ruptured/perforated choledochal cyst |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=1;spage=138;epage=140;aulast=Ojha |
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