Hepatic ductoplasty to widen the hepaticojejunostomy in the single-site laparoscopic resection of choledochal cyst in children

In brief

This article describes a novel single-incision laparoscopic technique using hepatic ductoplasty to widen the bile duct anastomosis during choledochal cyst resection in children with narrow hepatic ducts. The trans-umbilical approach combines cosmetic benefits of single-site surgery with technical refinements to optimize biliary reconstruction outcomes.

• Trans-umbilical single-site laparoscopy enables minimally invasive choledochal cyst resection with improved cosmesis in pediatric patients.
• Hepatic ductoplasty widens the hepaticojejunostomy anastomosis when the common hepatic duct diameter is inadequate for standard repair.
• This technique addresses the challenge of small CHD caliber in children, reducing risk of anastomotic stricture post-operatively.
• Single-site approach maintains oncologic adequacy while minimizing abdominal wall trauma and visible scarring in young patients.

Written by the GCMD Library team from the article.