Early Outcome of Laparoscopic Choledochal Cyst Excision with Roux-N-Y Hepaticojejunostomy

Authors

  • Muhammad Bilawal Khan Hayatabad Medical Complex, Peshawar, Pakistan
  • Muhammad Iftikhar Hayatabad Medical Complex, Peshawar, Pakistan
  • Siddique Ahmad Hayatabad Medical Complex, Peshawar, Pakistan
  • Nazia Shahana Services Hospital, Peshawar, Pakistan
  • Rashid Aslam Hayatabad Medical Complex, Peshawar, Pakistan
  • Muhammad Alam Hayatabad Medical Complex, Peshawar, Pakistan
  • Karishma Rehman Khyber Teaching Hospital, Peshawar, Pakistan

DOI:

https://doi.org/10.52206/jsmc.2025.15.2.1010

Abstract

Background: Laparoscopic surgery has replaced conventional surgery due to its efficacy and safety. It offers a minimally invasive alternate to open surgery with faster recovery, lesser pain and complications. Choledochal cyst, a congenital disease, poses a significant challenge for the surgeon due to its complex anatomy and variations. Excising the cyst laparoscopically can significantly aid in reducing the morbidity associated with it.

Objective: The purpose of this study is to share our results of Laparoscopic Choledochal Cysts excision in terms of per-operative and early post-operative complications, in a tertiary care hospital.

Materials and Methods: The study is based on prospective analysis and review of a cohort of 27 patients having age ranging from 18-60 years.  These patients underwent laparoscopic choledochal cyst excision at Department of surgery, Hayatabad Medical Complex Pakistan, during 2022-23. The demographic details, intra-operative characteristics and postoperative outcomes were examined and analyzed. Statistical analyses were conducted by using IBM SPSS 25.0.

Results: The study revealed a significant success rate of 92.6%. Intra-operative blood loss and excision time were within the standard parameters. Post-operative complications included fever (22.2%), upper respiratory tract infection (14.8%), and abscess formation (7.4%). Time to oral feeding was 3.91±1.11 days, and the mean postoperative hospital stay was 5.71±2.01 days. The mortality rate during the three-months follow-up was reported as zero.

Conclusion: Laparoscopic choledochal cyst excision proves to be a suitable and less invasive alternative, with positive early outcomes. The study supports the contemporary shift toward laparoscopic interventions having reduced complications and speedy recovery of the patient.

Key Words: Choledochal cyst, Early outcomes, Hepatobiliary surgery, Laparoscopic excision, Minimally invasive, Postoperative complications.

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Additional Files

Published

10-05-2025

How to Cite

1.
Khan MB, Iftikhar M, Ahmad S, Shahana N, Aslam R, Alam M, Rehman K. Early Outcome of Laparoscopic Choledochal Cyst Excision with Roux-N-Y Hepaticojejunostomy. J Saidu Med Coll [Internet]. 2025 May 10 [cited 2025 Jun. 12];15(2):152-6. Available from: http://jsmc.pk/index.php/jsmc/article/view/1010

Issue

Vol. 15 No. 2 (2025): Journal of Saidu Medical College

Section

Original Article

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