Analysis on total single-incision laparoscopic treatment of congenital choledochal cysts in 41 pediatric patients
ZHOU Zhou
ZHUANG Yize
ZHANG Jie
LUO Miao
LI Fei
FAN Xia
HUANG Huang
QIN Zhijie
TANG Yingming
Abstract：Objective To explore the feasibility and safety of total single-incision laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy(TSILH)for the treatment of congenital choledochal cysts in pediatric patients.Methods A retrospective analysis was conducted on the clinical data of 97 pediatric patients who underwent single-incision laparoscopic-related operations in Guizhou Branch of Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine from January 2018 to March 2023.According to surgical procedures,the pediatric patients were divided into TSILH group(n=41),and single-incision laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy(SILH)group(n=56).The intraoperative and postoperative indicators and the incidence of complications were compared between the two groups.Results The operations in all the pediatric patients were successfully completed under laparoscopy,without conversion to laparotomy or conventional multi-port laparoscopic surgery.The operation time in the TSILH group[(195.60±13.75)min]was longer than that in the SILH group[(173.20±34.38)min],and the time for end-to-side jejunal anastomosis during the operation in the TSILH group[(65.75±8.02)min]was also longer than that in the SILH group[(36.88±5.43)min],with statistically significant differences between the two groups(P＜0.05).There were no statistically significant differences between the two groups in terms of intraoperative blood loss,time for resuming diet after operation,time to remove the abdominal drainage tube,length of hospital stay after operation,and the incidence of complications(P＞0.05).Conclusion TSILH is a safe and feasible treatment for pediatric congenital choledochal cysts,with good outcomes and satisfactory incisions.However,the overall operation time is relatively prolonged,and it requires a high level of laparoscopic anastomosis skill in the surgeons.
Keywords：Total single-port laparoscopyChildrenCongenital choledochal cystsRoux-en-Y hepaticojejunostomy
Publication Date：2025-06-30
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 621-625 )