Laparoscopic Excision of Type I Choledochal Cyst and Hepaticoduodenostomy in an Adult with Short Bowel Syndrome

Abstract Introduction: Although laparoscopic excision of the choledochal cyst is an established treatment option in the pediatric population, only a few cases of laparoscopic excision have been reported in the adult patients. Biliary reconstruction after excision of the choledochal cyst is performed by hepaticojejunostomy in most cases. However, in selected cases, hepaticojejunostomy might not be feasible due to the immobility or inadequacy of the jejunum. The authors present a case of a 62-year-old woman with symptomatic type I choledochal cyst. She had a history of multiple bowel excisions resulting in short bowel syndrome. Laparoscopic excision of choledochal cyst and biliary reconstruction with hepaticoduodenostomy was performed. A video with a run time of 8 minutes 1 second is presented to demonstrate the technique used. Materials and Methods: The patient was placed in the Lloyd-Davies position, with the operating surgeon standing in between the patient's legs. A 12-mm port was inserted with the open...