Experience of Congenital Choledochal Cyst in Adults: Treatment, Surgical Procedures and Clinical Outcome in the Second Affiliated Hospital of Harbin Medical University.
10.3346/jkms.2004.19.6.842
- Author:
Long Xian ZHENG
1
;
Hong Bo JIA
;
De Quan WU
;
Hong SHANG
;
Xiang Yu ZHONG
;
Qiu Shi WANG
;
Wen Xue ZHOU
;
Zhen Hua SUN
Author Information
1. Department of Surgery, the Second Affiliated Hospital of Harbin Medical University, Harbin, China. zhenglxhrbmu@hotmail.com
- Publication Type:Original Article
- Keywords:
Choledochal Cyst;
Surgical Procedures, Operative;
Biliary Tract;
Anastomosis Roux-en-Y;
Adult;
Disease Management
- MeSH:
Academic Medical Centers/trends;
Adolescent;
Adult;
Choledochal Cyst/*epidemiology/*surgery;
Female;
Hepatectomy/*methods/*statistics & numerical data;
Humans;
Jejunostomy/*methods/*statistics & numerical data;
Korea/epidemiology;
Male;
Middle Aged;
Postoperative Complications/*epidemiology;
Retrospective Studies;
Treatment Outcome
- From:Journal of Korean Medical Science
2004;19(6):842-847
- CountryRepublic of Korea
- Language:English
-
Abstract:
This study was undertaken to analyze and evaluate the diagnosis and principal treatment methods for congenital choledochal cyst, focusing on various surgical procedures and clinical outcome. A comprehensive, retrospective study was conducted on 72 adult patients who presented with choledochal cyst from 1985 to 2002. Surgical procedures were cyst excision with hepaticojejunostomy in 25 cases for type I or type IV-B, extrahepatic cyst excision with hepaticojejunostomy in 8 cases for type IV-A, extrahepatic cyst excision with modified hepaticojejunostomy in 2 cases for type IV-B, non-cyst excision with or without hepaticojejunostomy in 27 cases for types I, II, IV-A, IV-B. The early postoperative morbidity and mortality rate were 16.1% (9/62) and 6.5% (4/62) respectively, and the complication rate related to surgical procedure was 30.6% (19/62). The incidence of cholangiocarcinoma with non-cyst excision or non-operated congenital choledochal cyst was 10.8% (4/37). One patient died of primary hepatocellular carcinoma after cyst excision with hepatojejunostomy. In conclusion, our results showed that complete exci-sion of choledochal cyst for types I, II, and IV-B and complete excision of extra-hepatic choledochal cyst from the hepatic hilum in type IV-A with hepaticojejunostomy or modified hepaticojejunostomy are the treatment of choice for choledochal cyst in adult patients.
