Adult Choledochal Cysts: Surgical Management and Complications
作者:
T.F. Toufeeq Khan,
Zaheer A. Sherazi,
Sadrula Haji,
Nik Shukri,
Ziyadi Ghazali,
Malik Mumtaz,
F.U. Baqai,
期刊:
Digestive Surgery
(Karger Available online 1995)
卷期:
Volume 12,
issue 2
页码: 98-101
ISSN:0253-4886
年代: 1995
DOI:10.1159/000172325
出版商: S. Karger AG
关键词: Cyst excision, complications;Cystoenterostomy;Hepaticojejunostomy
数据来源: Karger
摘要:
The surgical management of 7 adult female patients with choledochal cysts, from December 1985 to December 1993, is presented. Upper abdominal pain was present in all cases, jaundice in 3 patients, and a palpable right upper quadrant mass in 1. The diagnosis was confirmed by ultrasonography, per-operative cholangiography, tube cholecystocholangiography, computed tomography, endoscopic retrograde cholangiography, and percutaneous transhepatic cholangiography – performed singly or in combination. An abnormal pancreaticobiliary junction was documented in 2 patients: on tube cholangiography in 1 and on endoscopic retrograde cholangiography in the other. The cysts in these patients were classified as follows: 2 type I, 1 type II, 3 type IVa, and 1 type V (Caroli’s disease). Internal drainage was performed in 2 patients, and both developed complications. Four patients underwent cyst excision with one anastomotic leak. Malignant and severe dysplastic changes were seen in 3 patients: 2 type IVa cysts and 1 type V cyst. We believe that cyst excision is essential to separate the pancreatic and biliary systems with Roux-en-Y hepaticojejunostomy to prevent long-term complicati
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