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Article: Early and late results of excision of choledochal cysts

TitleEarly and late results of excision of choledochal cysts
Authors
Issue Date1997
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
Journal Of Pediatric Surgery, 1997, v. 32 n. 11, p. 1563-1566 How to Cite?
AbstractBackground/Purpose: Reports On The Late Results Of Choledochal Cyst Excision With Hepaticojejunostomy In Children Are Relatively Few. Methods: Of The 84 Patients Who Had Choledochal Cyst Who Came Under Our Care, 79 Have Had Definitive Surgery, Three Are Awaiting Surgery, One Is Being Observed With Caroli's Disease, And The Parents Of One Child Have Refused Surgery. Thirty- Eight Patients Treated Decades Ago Had Internal Drain-Age Procedures. Since 1972, 41 Patients Have Had Cyst Excision With Hepaticojejunostomy Using A 40- Cm Roux Loop Without An Antireflux Procedure. Early Complications In Those Who Underwent Cyst Excision With Hepaticojejunostomy Included Anastomotic Leak In Three Patients Who Required Reoperation, Cholangitis In Two, And Fluid Collection In The Gall-Bladder Bed That Required No Intervention In One. Results: During A Follow-Up Period Ranging From 4 Months To 17 Years (Mean, 8.5 Years), Anastomotic Stricture, Cholangitis, And Intrahepatic Stone Formation Developed In Two Children After Being Well For 8 Years And Over 11 Years. These Children Required Additional Surgical Procedures To Overcome Their Problems. Asymptomatic Intrahepatic Stones 2 Years After Cyst Excision With Hepaticojejunostomy Developed In A Third Child. There Was No Mortality In The Entire Group That Underwent Cyst Excision And They Are All Enjoying A Good Quality Of Life. Conclusions: Careful, Long-Term Follow-Up Is Important In Children Who Have Choledochal Cyst Excision With Hepaticojejunostomy.
Persistent Identifierhttp://hdl.handle.net/10722/83416
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSaing, Hen_HK
dc.contributor.authorHan, Hen_HK
dc.contributor.authorChan, KLen_HK
dc.contributor.authorLam, Wen_HK
dc.contributor.authorChan, FLen_HK
dc.contributor.authorCheng, Wen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:40:47Z-
dc.date.available2010-09-06T08:40:47Z-
dc.date.issued1997en_HK
dc.identifier.citationJournal Of Pediatric Surgery, 1997, v. 32 n. 11, p. 1563-1566en_US
dc.identifier.issn0022-3468en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83416-
dc.description.abstractBackground/Purpose: Reports On The Late Results Of Choledochal Cyst Excision With Hepaticojejunostomy In Children Are Relatively Few. Methods: Of The 84 Patients Who Had Choledochal Cyst Who Came Under Our Care, 79 Have Had Definitive Surgery, Three Are Awaiting Surgery, One Is Being Observed With Caroli's Disease, And The Parents Of One Child Have Refused Surgery. Thirty- Eight Patients Treated Decades Ago Had Internal Drain-Age Procedures. Since 1972, 41 Patients Have Had Cyst Excision With Hepaticojejunostomy Using A 40- Cm Roux Loop Without An Antireflux Procedure. Early Complications In Those Who Underwent Cyst Excision With Hepaticojejunostomy Included Anastomotic Leak In Three Patients Who Required Reoperation, Cholangitis In Two, And Fluid Collection In The Gall-Bladder Bed That Required No Intervention In One. Results: During A Follow-Up Period Ranging From 4 Months To 17 Years (Mean, 8.5 Years), Anastomotic Stricture, Cholangitis, And Intrahepatic Stone Formation Developed In Two Children After Being Well For 8 Years And Over 11 Years. These Children Required Additional Surgical Procedures To Overcome Their Problems. Asymptomatic Intrahepatic Stones 2 Years After Cyst Excision With Hepaticojejunostomy Developed In A Third Child. There Was No Mortality In The Entire Group That Underwent Cyst Excision And They Are All Enjoying A Good Quality Of Life. Conclusions: Careful, Long-Term Follow-Up Is Important In Children Who Have Choledochal Cyst Excision With Hepaticojejunostomy.en_US
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurgen_HK
dc.relation.ispartofJournal of Pediatric Surgeryen_HK
dc.titleEarly and late results of excision of choledochal cystsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3468&volume=32&spage=1563&epage=1566&date=1997&atitle=Early+and+late+results+of+excision+of+choledochal+cystsen_HK
dc.identifier.emailSaing, H: saing@hkucc.hku.hken_HK
dc.identifier.emailChan, KL: klchan@HKUCC.hku.hken_HK
dc.identifier.emailCheng, W: weicheng@hkucc.hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0022-3468(97)90453-Xen_US
dc.identifier.pmid9396526-
dc.identifier.scopuseid_2-s2.0-0030679606en_US
dc.identifier.hkuros29282en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030679606&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume32en_US
dc.identifier.issue11en_US
dc.identifier.spage1563en_US
dc.identifier.epage1566en_US
dc.identifier.isiWOS:A1997YF52300010-

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