Port Blair, Aug. 4: A 65-year-old gentle man was admitted in the surgical department of ANIIMS with complaints of recurrent upper abdominal pain and jaundice for the last 6 - 12 months. He was investigated with blood, urine, USG abdomen and contrast CT scan abdomen and MRCP which revealed a large type-1 Choledochal cyst. He was prepared pre- operatively and pre-anesthetic checkup was done and fitness for surgery was taken.

On July 17/07/23 the patient was taken up for elective major advanced minimal access surgery by a team of Doctors headed by Dr. Saji Vargheese & Anesthetist Dr. Saras Sahoo & Dr. Saran & staff and performed Laparoscopic excision of Choledochal cyst and Roux-en-Y Hepatico-jejunostomy, a 4 hours surgery through  5 key holes in which the abnormally dilated biliary tree was excised and the continuity of the biliary tree was restored by doing anastomosis between the common hepatic duct and small intestine. Post-operatively the patient was shifted to Surgical ICU and mobilized from the bed 1st post-operative day and started oral feeds on 3rd post-operative day. The patient recovered very well and was discharged on 7th post-operative day.

It is pertinent to mentioned here that such major minimally invasive gastroenterology and hepatobiliary-pancreatic surgeries which are performed only in major super speciality hospital at mainland are now performed regularly at ANIIMS/GB Pant Hospital.