Conclusion
We have performed a total of 92 Roux-en-Y hepaticojejunostomy (70 end-to-end anastomoses and 22 end-to-side anastomoses) using our cyst excision technique with intra-operative endoscopy, according to our recommendations for the procedure, and all patients are well without any complications after a mean follow-up period of 8.0 years (range 9 months to 16 years).
Cyst excision and Roux-en-Y hepatico-jejunostomy is the treatment of choice in both children and adults with choledochal cyst. Intra-operative endoscopy at the time of cyst excision is useful to prevent post-operative complications, especially those that develop in over time. Roux-en-Y hepatico-jejunostomy in children is different from that in adults, since the Roux-en-Y limb or blind pouch can grow and elongate as the child grows.
Our techniques for cyst excision and biliary reconstruction effectively prevent post-operative complications, and we recommend their use in children with choledochal cyst.
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© 2006 Springer-Verlag Berlin Heidelberg
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Miyano, T., Urao, M., Yamataka, A. (2006). Choledochal Cyst. In: Puri, P., Höllwarth, M.E. (eds) Pediatric Surgery. Springer Surgery Atlas Series. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30258-1_34
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DOI: https://doi.org/10.1007/3-540-30258-1_34
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