Techniques and reults of laparoscopic hepatico-jejunostomy

Background: Minimal access surgery has become so popular for many advanced procedures-with skills in suturing and knotting, it has been extended to th e management of choledochal cyst too. We present our experience with laparo scopic management of choledochal cyst with reconstruction by totally endosu turing and knotting. Methods: In our early series, we had 2 cases of choledochal cyst for whom r esection done by laparoscopy. We converted for reconstruction. Since 1996, 6 cases of choledochal cyst were managed entirely by laparoscopy including reconstruction with roux-en-y loop of jejunum by endosuturing and knotting. Results: Mean age of patient was 32 years (11-45). There were two conversio n. Mean operative time was 255 minute. Medium length of hospital stay was 7 days. There were no procedural related complication. Conclusion: Laparoscopic excision of choledochal cyst and its rc:constructi on was performed successfully and its therapeutic outcome was satisfactory. The mastery in endo suturing and knotting may help to achieve good results of such complex procedures.