Complete laparoscopic choledochal cyst excision and hepaticojejunostomy with laparoscopic <scp>Roux‐Y</scp> reconstruction using a 5‐mm stapler: A case of a 2‐month‐old infant
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- Masakazu Murakami
- Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly Kagoshima University Kagoshima Japan
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- Tatsuru Kaji
- Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly Kagoshima University Kagoshima Japan
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- Ayaka Nagano
- Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly Kagoshima University Kagoshima Japan
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- Mayu Matsui
- Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly Kagoshima University Kagoshima Japan
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- Shun Onishi
- Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly Kagoshima University Kagoshima Japan
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- Koji Yamada
- Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly Kagoshima University Kagoshima Japan
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- Satoshi Ieiri
- Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly Kagoshima University Kagoshima Japan
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説明
<jats:title>Abstract</jats:title><jats:p>Laparoscopic choledochal cyst excision and hepaticojejunostomy for choledochal in children is performed only at particular institutions because of the technical difficulty. Although choledochal cyst excision and hepaticojejunostomy are feasible, the small working space of infants makes intraabdominal Roux‐Y reconstruction technically challenging. A 2‐month‐old girl diagnosed with a choledochal cyst underwent complete laparoscopic choledochal cyst excision and hepaticojejunostomy, including intraabdominal Roux‐Y reconstruction with a 5‐mm stapler. After cyst excision, Roux‐Y reconstruction was performed in the intraabdominal cavity. Jejunojejunostomy was performed in a side‐to‐side fashion using a 5‐mm stapler, and the entry hole was closed laparoscopically by hand‐sewing, along with the mesentery defect. All procedures were performed by laparoscopic surgery. The postoperative course was uneventful, and the patient showed a quick recovery. Using small‐diameter instruments, completely laparoscopic procedures for choledochal cyst are feasible.</jats:p>
収録刊行物
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- Asian Journal of Endoscopic Surgery
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Asian Journal of Endoscopic Surgery 14 (4), 824-827, 2021-02-15
Wiley
