Document Detail


Diagnosis and Management Experience of Adult Choledochal Cysts: Reasons for Reoperation.
MedLine Citation:
PMID:  23282738     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background/Aims: This study aims to summarize the diagnosis and management experience of adult choledochal cyst (CC) patients and highlights our experience of reoperation cases. Methodology: The clinical data of 65 adult patients with CCs at the Second Affiliated Hospital of Chongqing Medical University between 2007 and 2011 were analyzed retrospectively. Results: According to Todani's classification, there were 40 patients who belonged to type I, 1 patient to type II, 23 patients to type IVa, and 1 patient to type V cysts. Of all the patients, there were 24 patients who needed reoperation. Of the 24 patients, 17 patients had previously obtained erroneous diagnosis, 2 patients had undergone suboptimal treatment, and 5 patients had undergone definitive surgery. Forty-six patients underwent extrahepatic bile duct (EHBD) dilatation resection plus Roux-en-Y hepaticojejunostomy (HJ), 16 patients underwent partial hepatectomy plus EHBD resection plus Roux-en-Y HJ, 1 patient underwent partial hepatectomy, 1 patient underwent external drainage only, and 1 patient underwent reconstruction of hepatoenteric anastomosis by excision of stenosis. Conclusions: Four reasons could account for reoperation: misdiagnosis, severe associated preoperative diseases, severe complications and inappropriate surgical procedures. Complete excision of the cyst including the intrahepatic part plus Roux-en-Y hepaticojejunostomy is the ideal surgical strategy.
Authors:
Yu You; Jian-Ping Gong
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-3
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  60     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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