For children with type I cysts, the surgery is called Roux-en-Y hepaticojejunostomy (pronounced roo-enn-WHY hee-PAT-ih-koe-jeh-joo-NOS-tuh-mee). “Hepatic” has to do with the liver. “Jejunum” is the middle segment of the small intestine.
At the time of surgery, we give your child medicine to make them sleep without pain (general anesthesia).
Your child’s surgeon cuts the common bile duct on each side of the cyst and takes out the cyst.
Next the surgeon cuts through the small intestine. The surgeon brings the lower part of the intestine up and sews it to the bile duct. This makes a new complete tube. Bile can now flow from your child’s liver into their intestine.
Then the surgeon cuts a hole in the side of the new tube. The surgeon brings the upper part of the intestine down and sews it to this hole. Now food can move from your child’s stomach into their intestine.