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J Minim Access Surg. 2019 Nov 29. doi: 10.4103/jmas.JMAS_62_19. [Epub ahead of print]

Laparoscopic excision and redo hepaticojejunostomy for remnant choledochal cyst with anastomotic stricture in an adult: A case report.

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Department of Surgical Gastroenterology and Minimal Access Surgery, Santokba Institute of Digestive Surgical Sciences (SIDSS), Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India.


The laparoscopic management of hepatobiliary pathology is an established mode of treatment. Incomplete excision of choledochal cyst with the resultant complications is a distinct surgical pathology, the treatment of which can be rendered based on the philosophy of minimally invasive approach which is now an acceptable treatment for the primary condition itself. We describe a case of hepaticojejunostomy site stricture associated with incomplete cyst excision managed laparoscopically. A redo procedure is technically demanding considering the presence of adhesions and a difficult to discern anatomy, but resulted in an excellent outcome. At centres with significant experience in laparoscopic surgery, redo procedures with a favourable impression on pre-operative work-up can be effectively treated with laparoscopy.


Adult; choledochal cyst; hepaticojejunostomy; laparoscopic surgery

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