Laparoscopic excision of choledochal cyst

Choledochal cysts are cystic dilatations of the extrahepatic and/or intrahepatic bile ducts. They may present with right hypochondrial pain, obstructive jaundice and cholangitis and carry a substantial risk of malignant transformation [1,2]. Surgical resection and reconstruction with a Roux-en-Y hepatico jejunostomy is the treatment of choice. This may be done by open or minimal access. Laparoscopic resection reduces the morbidity of open access resulting in lesser post operative pain and respiratory problems, faster recovery, shorter hospital stay and reduced adhesion formation compared with open operation [1,2,3,4,5].