Abstract
A retrospective study of 11 cases of choledochal cyst over a period of 10 years is presented. There were 8 females and 3 males in a ratio of 2.67∶1. The classical triad of jaundice, mass and abdominal pain was seen in none of our patients. Ultrasonography was diagnostic in 9 out of 11 (80%) patients. Surgical procedures performed were, complete excision of the cyst with Roux en Y hepaticojejunostomy (nine cases), internal drainage of the cyst (one case) and excision of the extrahepatic cyst with Roux en Y hepaticojejunostomy in one case of Type IV choledochal cyst. One patient died in the immediate postoperative period. Others have remained well upto 10 years follow-up. We recommend total cyst excision with hepaticojejunostomy as the treatment of choice.
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References
Tan KC, Howard ER. Choledochal cyst: A 14-year surgical experience with 36 patients.Br J Surg 1988; 75: 892–895.
Robertson JFR, Raine PAM. Choledocal cyst: a 33-year review.Br J Surg 1988; 75: 799–801.
Joseph VT. Surgical techniques and long-term results in the treatment of choledochal cyst.J Pediatr Surg 1990; 25 (7): 782–787.
Babbitt DP. Congenital choledochal cyst: New etiological concept based on anomalous relationship of the common bile duct and pancreatic duct.Ann Radiol 1969; 12: 231–240.
Goretein L, Strasberg SM. Etiology of choledochal cyst: two instructive cases.Can J Surg 1985; 28: 363–377.
Todani T, Watanbe Y, Fujii T. Anomalous arrangement of the pancreaticobiliary ductal system in patients with choledochal cysts.Am J Surg 1984; 14: 672.
Kasai M, Asakula Y, Taire Y. The surgical treatment of choledochal cyst.Ann Surg 1970; 172: 844–851.
Hamade Y, Tanano A, Sato M, Kato Y, Hioki K. Rapid enlargement of a choledochal cyst: Antenatal diagnosis and delayed primary excision.Pediatr Surg Int 1988; 13: 419–421.
Benhidjeb T, Chaoui R, Kalache K, Mau H, Muller JM. Prenatal diagnosis of a choledochal cyst: A case report and review of the literature.Am J Perinatol 1996; 13(4): 207–210.
Todani T, Tabuchi K, Watanbe Y, Kobayashi T. Carcinoma arising in the wall of congenital bile duct cysts.Cancer 1979; 44: 1134–1141.
Saing H, Tam PKH, Lee JMH, Nyun P. Surgical management of choledochal cysts: a review of 60 cases.J Pediatr Surg 1985; 20 (4): 443–448.
Lilly JR. Total excision of choledochal cyst.Surg Gynecol Obstet 1978; 146: 254–256.
Rao N, Mitra SK, Kochher R. Jejunal interposition hepaticoduodenostomy for choledochal cyst.Am J Gastroenterol 1987; 82: 1042–1045.
Martin LW, Zeigler MM. Operative treatment for choledochal cyst. In: Nyhus LM, Baker RJ, Fischer JE, eds.Mastery of Surgery. Boston: Little Browne and Company, 1997; pp. 1152–1158.
Schamberger RC, Luna DP, Lillehei CW. Interposed jejunal segment with nipple valve to prevent reflux in biliary reconstruction.J Am Coll Surg 1995; 180: 10.
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Rattan, K.N., Khurana, P., Budhiraja, S. et al. Choledochal cyst: A 10-year experience. Indian J Pediatr 67, 657–659 (2000). https://doi.org/10.1007/BF02762178
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DOI: https://doi.org/10.1007/BF02762178