Open AccessLaparoscopic management of choledochal cyst in children: Lessons learnt from low-middle income countries
Author(s) -
Nguyễn Thanh Liêm,
Vikesh Agrawal,
Dexter S Aison
Publication year - 2021
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_114_20
Subject(s) - medicine , choledochal cysts , gold standard (test) , general surgery , malignancy , anastomosis , etiology , laparoscopy , laparoscopic surgery , surgery , cyst , radiology , pathology
Choledochal cyst (CC) is a disease with a strong Asian preponderance. As laparoscopic surgery has become mainstay in its treatment, the experience in these countries has been phenomenal. However, there are many contentious issues related with the laparoscopic management of CC. In this review article, we will try to answer the contentious questions related to the laparoscopic management of CC. The issues related to aetiology, classification, surgical technique, type of biliary anastomosis, intrahepatic stones and malignancy are discussed. We also discuss the current and future considerations of laparoscopic management with reference to it becoming a gold standard. This article describes the standard surgical approach and will discuss its technical nuances. This article will also discuss the outcome of treatment in different settings of low- and middle-income countries based on lessons learnt by the authors from their experience and research.