Cosmetic selection of skin incision for resection of choledochal cyst in young female patients.
10.14701/kjhbps.2016.20.3.127
- Author:
Shin HWANG
1
;
Jong Woo CHOI
;
Tae Yong HA
;
Gi Won SONG
;
Dong Hwan JUNG
Author Information
1. Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. shwang@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Choledochal cyst;
Skin incision;
Cosmetics;
Young female;
Upper midline incision
- MeSH:
Adult;
Choledochal Cyst*;
Cicatrix;
Female*;
Follow-Up Studies;
Humans;
Skin*;
Wounds and Injuries
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2016;20(3):127-132
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUNDS/AIMS: Open surgery for choledochal cyst has a disadvantage of skin incision scar from operative wound, which can be a definite disadvantage especially in young female patients. This study focused on the cosmetic aspect of skin incision for resection of choledochal cyst in young female patients. METHODS: During a 2-year study period, 11 adult female patients aged less than 40 years underwent primary resection of choledochal cyst by a single surgeon. The cosmetic effect of two types of skin incision was evaluated. RESULTS: The patients underwent mini-laparotomy through either a right subcostal incision (n=8) or an upper midline incision (n=3). The mean length of skin incision was 10 cm for right subcostal incisions and 9 cm for upper midline incisions. It took approximately 1 hour to repair the operative wound meticulously in both groups. At the 6 month to 1 year follow-up, a slight bulge on the skin scar was observed in 3 (37.5%) patients of the right subcostal incision group and 1 (33.3%) patient of the upper midline incision group. CONCLUSIONS: The results of this preliminary study support the claim that cosmetic effect of the upper midline incision for CCD surgery appears to be non-inferior to that of the right subcostal incision if the incision is placed accurately and repaired very meticulously.
