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Surgical removal of entire choledochal cyst with hepaticojejunostomy reconstruction. Definitive treatment preventing complications (cholangitis, pancreatitis, cancer). Requires precision technique and expertise in complex biliary surgery.
Complete cyst excision including cyst wall. Hepaticojejunostomy for bile drainage. Requires careful dissection of surrounding structures. Laparoscopic approach when feasible.
Hospital stay 5-7 days. Return to activities 4-6 weeks. Healing 6-8 weeks. Excellent long-term outcomes. Prevents malignant transformation.
A choledochal cyst is a widening (dilatation) of the bile duct that is usually present from birth. Because it can cause repeated infection, pancreatitis, stones and an increased risk of bile duct cancer over time, the usual treatment is to remove the cyst completely and create a new drainage route for bile.
Under general anaesthesia, the surgeon removes the dilated bile duct together with the gallbladder. A loop of the small intestine is then joined to the remaining healthy bile duct near the liver. This is called a Roux-en-Y hepaticojejunostomy, and it lets bile drain directly into the intestine. The operation may be done through an open incision or by laparoscopic surgery in suitable patients, and usually takes several hours.
Regular follow-up with blood tests and imaging is recommended, as a small number of patients may develop narrowing of the new join, stones or infection years later.
Risks include bleeding, bile leak, infection, leak from the bowel join, pancreatitis and, later, narrowing of the join causing cholangitis.
It is often found in childhood, but many cases are diagnosed in adults, sometimes after attacks of pain, jaundice or pancreatitis.
Leaving the cyst wall behind carries a continuing risk of infection and cancer, so complete removal is the recommended treatment.
Most patients eat a normal diet after recovery.
Book a consultation: call 0522-666-4444 or use the request call back form on this page. In an emergency, come straight to the 24/7 emergency department at Charak Hospital, Hardoi Road, Dubagga, Lucknow.