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Article: Technical note on complete excision of choledochal cysts

TitleTechnical note on complete excision of choledochal cysts
Authors
Issue Date2013
Citation
Hepatobiliary & Pancreatic Diseases International, 2013, v. 12 n. 2, p. 218-221 How to Cite?
AbstractBACKGROUND: Choledochal cysts are congenital cystic dilatations of the extrahepatic or intrahepatic portion of the biliary tree. Complete excision of choledochal cysts is currently regarded as the gold standard treatment, while less extensive procedures including cystoduodenostomy have become obsolete due to the potential for malignant change in the remnant cyst. For type-1 choledochal cysts, which sometimes extend to the main pancreatic duct closely, some surgeons may adopt a less aggressive approach in order to avoid damage to the main pancreatic duct as such damage can lead to serious consequences. However, incomplete excision of choledochal cysts may also cause problems. METHOD: Here we report on a reoperation treating incomplete excision of a choledochal cyst with focus on the technical aspect. RESULTS: In the reoperation, meticulous dissection of the liver hilum which had been previously operated on was performed. The hepaticojejunostomy was left intact. With the assistance of intraoperative cholangiography, the residual pancreatic portion of the choledochal cyst was completely excised. The pancreatic opening and the lower end of the common bile duct were reconstructed. Whipple operation was avoided. CONCLUSION: Careful planning with the aid of precise imaging before and during the operation largely enhanced the accuracy of the excision of the choledochal cyst. © 2013, Hepatobiliary Pancreat Dis Int. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/186357
ISSN
2015 Impact Factor: 1.724
2015 SCImago Journal Rankings: 0.717
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCheung, TTen_US
dc.contributor.authorFan, STen_US
dc.date.accessioned2013-08-20T12:03:52Z-
dc.date.available2013-08-20T12:03:52Z-
dc.date.issued2013en_US
dc.identifier.citationHepatobiliary & Pancreatic Diseases International, 2013, v. 12 n. 2, p. 218-221en_US
dc.identifier.issn1499-3872-
dc.identifier.urihttp://hdl.handle.net/10722/186357-
dc.description.abstractBACKGROUND: Choledochal cysts are congenital cystic dilatations of the extrahepatic or intrahepatic portion of the biliary tree. Complete excision of choledochal cysts is currently regarded as the gold standard treatment, while less extensive procedures including cystoduodenostomy have become obsolete due to the potential for malignant change in the remnant cyst. For type-1 choledochal cysts, which sometimes extend to the main pancreatic duct closely, some surgeons may adopt a less aggressive approach in order to avoid damage to the main pancreatic duct as such damage can lead to serious consequences. However, incomplete excision of choledochal cysts may also cause problems. METHOD: Here we report on a reoperation treating incomplete excision of a choledochal cyst with focus on the technical aspect. RESULTS: In the reoperation, meticulous dissection of the liver hilum which had been previously operated on was performed. The hepaticojejunostomy was left intact. With the assistance of intraoperative cholangiography, the residual pancreatic portion of the choledochal cyst was completely excised. The pancreatic opening and the lower end of the common bile duct were reconstructed. Whipple operation was avoided. CONCLUSION: Careful planning with the aid of precise imaging before and during the operation largely enhanced the accuracy of the excision of the choledochal cyst. © 2013, Hepatobiliary Pancreat Dis Int. All rights reserved.-
dc.languageengen_US
dc.relation.ispartofHepatobiliary & Pancreatic Diseases Internationalen_US
dc.titleTechnical note on complete excision of choledochal cystsen_US
dc.typeArticleen_US
dc.identifier.emailCheung, TT: cheung68@hku.hken_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1016/S1499-3872(13)60035-1-
dc.identifier.pmid23558079-
dc.identifier.scopuseid_2-s2.0-84879271137-
dc.identifier.hkuros220122en_US
dc.identifier.volume12en_US
dc.identifier.issue2en_US
dc.identifier.spage218en_US
dc.identifier.epage221en_US
dc.identifier.isiWOS:000317438900016-

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