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Boletín médico del Hospital Infantil de México

Print version ISSN 1665-1146

Abstract

GARCIA-HERNANDEZ, Carlos; CARVAJAL-FIGUEROA, Lourdes; ARCHIVALDO-GARCIA, Christian  and  ALVELAIS-ARZAMENDI, Ariadna A.. Laparoscopic treatment of a giant choledochal cyst in a pediatric patient. Bol. Med. Hosp. Infant. Mex. [online]. 2021, vol.78, n.4, pp.350-355.  Epub Aug 23, 2021. ISSN 1665-1146.  https://doi.org/10.24875/bmhim.20000149.

Background:

The giant choledochal cyst has a diameter ≥ 10 cm. Although laparoscopy has been contraindicated, we present the case of a teenager with a giant choledochal cyst resolved by laparoscopy.

Case report:

A 14-year-old male patient with a giant choledochal cyst treated with hepatic-duodenum laparoscopic anastomosis.

Conclusions:

The average size of bile duct cysts treated by laparoscopy is 40 mm. Giant cysts should not be resected through minimal invasion due to adhesions and a restricted visual field. We report a case of a giant cyst successfully treated by laparoscopy.

Keywords : Giant choledochal cyst; Biliary reconstruction; Laparoscopy; Hepatic-duodenum anastomosis; Pediatrics.

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