[Laparoscopic choledochocele resection  report of 48 cases].
OBJECTIVE
To summarize surgery experience and efficiency of laparoscopic excision of choledochal cyst and reconstruction of biliary tract and to analyze the treatments administered during intra and post-operation of the biliary reconstruction.


METHODS
We enrolled 48 cases of video-guided laparoscopic intraoperative cholangiography, cholecystectomy, choledochocele resection, Roux-en-Y hepaticojejunostomy with an anti-reflux valve from August, 2001 to October, 2003. Their operative procedures and aims were retrospectively analyzed.


RESULTS
Forty-four out of 48 patients successfully underwent laparoscopy and recovered soon. Only 4 cases were transformed to open operation. The post-operation complications were found in 4 cases.


CONCLUSIONS
Video-guided laparoscopic excision of choledochal cyst, biliary tract reconstruction and Roux-en-Y hepaticojejunostomy are an effective method of treatment with advantages of minimal injury, less bleeding, and sooner recovery.
Wang
Shu-qin
SQ
Department of Pediatric Surgery, Peking University First Hospital, Beijing 100034, China. w.s.q.53.8.16@sohu.com
Yu
Qi-zhi
QZ
Fu
Jing-bo
JB
Li
Long
L
D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D001662:Biliary Tract Surgical Procedures / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D015529:Choledochal Cyst / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D008297:Male