Minimal Access Surgery for Pediatric Choledochal Malformations is a focused surgical monograph dedicated entirely to the minimal access management of choledochal malformations in children. While choledochal cysts are widely discussed in hepatobiliary and pediatric surgery literature, existing information is often dispersed across journals and multi-topic textbooks. This book brings together the essential principles, operative strategies, and evolving innovations in one comprehensive resource.

The book covers the entire spectrum of minimal access surgery for pediatric choledochal malformationsfrom historical evolution and patient selection to operative planning, laparoscopic and robotic excision techniques, and biliary reconstruction. Special emphasis is placed on practical aspects such as port placement, interpretation of MRCP for surgical planning, management of accessory ducts and anatomical variations, use of fluorescence guidance, intraoperative choledochoscopy, and the prevention and management of complications. Emerging areas, including artificial intelligencebased predictive modeling and future research directions, are also discussed.

Designed as a practical and comprehensive reference, this monograph serves both surgeons beginning their journey in minimal access pediatric hepatobiliary surgery and experienced specialists seeking technical refinement and updated evidence.

By consolidating current knowledge and operative experience into a single volume, this book aims to function as a one-stop reference for the modern surgical management of pediatric choledochal malformations.

Integrates historical, laparoscopic & robotic perspectives exclusively dedicated to pediatric choledochal malformations Critically compares hepaticojejunostomy and hepaticoduodenostomy with pediatric- specific data Offers insights into robotic technology, cost-effectiveness and future innovations in pediatric hepatobiliary surgery

Autorentext

Dr. Ravi Prakash Kanojia is a consultant in Pediatric Surgery and Tenure, Professor at Post Graduate Institute of Medical Education and Research Chandigarh India. He has training affiliations with Australia, Japan, United Kingdom and USA. He has over 130 publications with pioneering work in the field of Minimal Invasive Surgery, Robotics and basic science research. He is the founder and managing editor of Journal of Pediatric Endoscopic Surgery an exclusive Pediatric MAS and robotic surgery journal published by Springer. He held some key academic positions of Editorial Secretary for Journal of Indian Association of Pediatric Surgeons and has the credit of getting the journal PubMed indexed during his tenure. He is also the past secretary of Indian Association of Pediatric Surgeons which is the custodian of Pediatric Surgery activities in India. He is the current Chairman of Pediatric Endoscopic Surgeons of India (as of May 2026). His specialty is neonatal laparoscopy and has a log of over 150 robotic cases with the Da Vinci system. His minimal invasive work is showcased on his YouTube channel with over 150 teaching videos on Pediatric Robotic and Laparoscopy.

Inhalt

1. History of Choledochal cyst surgery and its surgical evolution of open, minimal access and robotic approach.- 2. Patient selection preoperative considerations and optimal timing for laparoscopy in pediatric choledochal cysts.- 3. Structured Approach for Surgeons to MRCP Interpretation in the Surgical Planning of Pediatric Choledochal Malformations.- 4. Optimizing Operative Setup for Pediatric Choledochal Cyst Surgery: Port Placement, Patient Positioning, and Instrumentation.- 5. Laparoscopic excision for common varieties of choledochal cyst Mind map for beginner surgeon.- 6. Robotic excision of choledochal cyst with bilio-enteric anastomosis.- 7. Hepatico-Duodenostomy: The best way to do it.- 8. Hepatico-jejunostomy versus Hepaticoduodenostomy after laparoscopic choledochal cyst excision: Review of evidence from literature.- 9. Management of Accessory bile ducts during Choledochal Cyst excision and bilio-enteric anastomosis.- 10. Use of ICG guided mapping during pediatric choledochal cyst excision: principles, technique and current evidence.- 11. Single port minimal access surgery for pediatric choledochal cysts excision.- 12. Short term complications and management after minimal access surgery for pediatric choledochal cysts.- 13. Long term complications of laparoscopic pediatric choledochal cyst excision.- 14. Malignancy in adults treated for Choledochal Cyst in childhood.- 15. Literature review for Minimal access surgery for Choledochal Cyst: How well are we doing.- 16. Giant Choledochal cyst and minimal access surgery.- 17. Anatomical variations encountered during minimal access surgery for Choledochal Cyst.- 18. The Roux loop for bilio-enteric anastomosis: Long, Short or none.- 19. Surgery for rarer variants of choledochal cyst (Forme fruste, duodenocele).- 20. Anastomotic stricture after laparoscopic Choledochal Cyst treatment: Re-do procedures and outcomes.- 21. Artificial Intelligence and Machine leaning based Predictive Modelling in pediatric hepatobiliary conditions: A Transformative Frontier.- 22. Future directions in the field of choledochal cyst research.