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Article: Management of choledochal cyst: 30 years of experience and results in a single center

TitleManagement of choledochal cyst: 30 years of experience and results in a single center
Authors
KeywordsCholedochal cyst
Surgical management
Todani classification
Issue Date2009
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
Journal Of Pediatric Surgery, 2009, v. 44 n. 12, p. 2307-2311 How to Cite?
AbstractBackground: Choledochal cyst is usually diagnosed in childhood. Early treatment can prevent further complication. We report on our series of patients over the past 30 years. Methods: A retrospective study was performed on all pediatric patients who presented with choledochal cyst from January 1978 to December 2008. The main outcome measures recorded were the clinical presentation, management, and long-term outcome of the patients. Results: Eighty-three patients presented to us during the caption period with a mean age at diagnosis of 45 months (0 month to 16 years). Diagnoses were made antenatally in 15 patients. The most common symptoms were abdominal pain (n = 39) and jaundice (n = 35). Seventy-five patients had surgery, in which 72 patients had resection of the cyst and Roux-en-Y hepaticojejunostomy. Ten were performed by laparoscopic means. We categorized the cysts based on the Todani classification. There was no mortality. No malignant change was documented. For those 4 who had Caroli disease, 2 underwent liver transplantation and 2 had hepatectomy. Overall early complication rate was 5.3% (4/75). Conclusions: Complete excision of cyst with Roux-en-Y hepaticojejunostomy is the treatment of choice, and the late result is good. Laparoscopic surgery is feasible. Long-term follow-up is necessary. There is no evidence to suggest that some type IV cysts are the result of disease progression from type I cysts. © 2009 Elsevier Inc. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/84128
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorShe, WHen_HK
dc.contributor.authorChung, HYen_HK
dc.contributor.authorLan, LCLen_HK
dc.contributor.authorWong, KKYen_HK
dc.contributor.authorSaing, Hen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:49:16Z-
dc.date.available2010-09-06T08:49:16Z-
dc.date.issued2009en_HK
dc.identifier.citationJournal Of Pediatric Surgery, 2009, v. 44 n. 12, p. 2307-2311en_HK
dc.identifier.issn0022-3468en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84128-
dc.description.abstractBackground: Choledochal cyst is usually diagnosed in childhood. Early treatment can prevent further complication. We report on our series of patients over the past 30 years. Methods: A retrospective study was performed on all pediatric patients who presented with choledochal cyst from January 1978 to December 2008. The main outcome measures recorded were the clinical presentation, management, and long-term outcome of the patients. Results: Eighty-three patients presented to us during the caption period with a mean age at diagnosis of 45 months (0 month to 16 years). Diagnoses were made antenatally in 15 patients. The most common symptoms were abdominal pain (n = 39) and jaundice (n = 35). Seventy-five patients had surgery, in which 72 patients had resection of the cyst and Roux-en-Y hepaticojejunostomy. Ten were performed by laparoscopic means. We categorized the cysts based on the Todani classification. There was no mortality. No malignant change was documented. For those 4 who had Caroli disease, 2 underwent liver transplantation and 2 had hepatectomy. Overall early complication rate was 5.3% (4/75). Conclusions: Complete excision of cyst with Roux-en-Y hepaticojejunostomy is the treatment of choice, and the late result is good. Laparoscopic surgery is feasible. Long-term follow-up is necessary. There is no evidence to suggest that some type IV cysts are the result of disease progression from type I cysts. © 2009 Elsevier Inc. All rights reserved.en_HK
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.subjectCholedochal cysten_HK
dc.subjectSurgical managementen_HK
dc.subjectTodani classificationen_HK
dc.subject.meshAdolescent-
dc.subject.meshAnastomosis, Roux-en-Y - methods-
dc.subject.meshBiliary Tract Surgical Procedures-
dc.subject.meshCaroli Disease - classification - diagnosis - surgery-
dc.subject.meshCholedochal Cyst - chemistry - classification - diagnosis - surgery-
dc.titleManagement of choledochal cyst: 30 years of experience and results in a single centeren_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3468&volume=44&issue=12&spage=2307&epage=2311&date=2009&atitle=Management+of+choledochal+cyst:+30+years+of+experience+and+results+in+a+single+centeren_HK
dc.identifier.emailWong, KKY: kkywong@hkucc.hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityWong, KKY=rp01392en_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.jpedsurg.2009.07.071en_HK
dc.identifier.pmid20006015-
dc.identifier.scopuseid_2-s2.0-71649099484en_HK
dc.identifier.hkuros168701en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-71649099484&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume44en_HK
dc.identifier.issue12en_HK
dc.identifier.spage2307en_HK
dc.identifier.epage2311en_HK
dc.identifier.isiWOS:000274393700011-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridShe, WH=35574579400en_HK
dc.identifier.scopusauthoridChung, HY=35573049500en_HK
dc.identifier.scopusauthoridLan, LCL=7005687228en_HK
dc.identifier.scopusauthoridWong, KKY=24438686400en_HK
dc.identifier.scopusauthoridSaing, H=7005715754en_HK
dc.identifier.scopusauthoridTam, PKH=7202539421en_HK

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