Document Detail


Is preoperative subclassification of type I choledochal cyst necessary?
MedLine Citation:
PMID:  22563281     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of this study was to evaluate the frequency of postoperative biliary stricture and its risk factors in patients undergoing surgery for type I choledochal cyst.
MATERIALS AND METHODS: A total of 35 patients with type I choledochal cyst underwent laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy between August 2004 and August 2011. Their medical records and radiologic images (including endoscopic retrograde cholangiopancreatography, magnetic resonance cholangiopancreatography, pancreatobiliary computed tomography, or ultrasound) were retrospectively analyzed to evaluate the frequency of postoperative biliary stricture and its risk factors.
RESULTS: Postoperative biliary stricture was found in 10 (28.6%) of 35 patients. It developed more frequently in patients with type Ia choledochal cyst (53.8%, 7 of 13 patients) than in patients with type Ic choledochal cyst (13.6%, 3 of 22 patients), which was statistically significant (p = 0.011). There were no significant associations between other factors and postoperative biliary stricture.
CONCLUSION: Type Ia is a risk factor of postoperative anastomotic stricture. Therefore, preoperative radiologic subclassification of type Ia and Ic may be useful in predicting postoperative outcomes of choledochal cysts.
Authors:
Kyuwhan Jung; Ho-Seong Han; Jai Young Cho; Yoo-Seok Yoon; Dae-Wook Hwang
Publication Detail:
Type:  Journal Article     Date:  2012-04-23
Journal Detail:
Title:  Korean journal of radiology : official journal of the Korean Radiological Society     Volume:  13 Suppl 1     ISSN:  2005-8330     ISO Abbreviation:  Korean J Radiol     Publication Date:    2012 Jan-Feb
Date Detail:
Created Date:  2012-05-07     Completed Date:  2012-09-20     Revised Date:  2013-06-25    
Medline Journal Info:
Nlm Unique ID:  100956096     Medline TA:  Korean J Radiol     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  S112-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam 463-707, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anastomosis, Roux-en-Y
Biliary Tract Surgical Procedures / methods
Chi-Square Distribution
Child
Child, Preschool
Cholangiopancreatography, Endoscopic Retrograde
Cholangiopancreatography, Magnetic Resonance
Choledochal Cyst / pathology*,  surgery*
Female
Humans
Infant
Jejunostomy / methods
Laparoscopy / methods*
Male
Middle Aged
Postoperative Complications / diagnosis*
Statistics, Nonparametric
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography / methods
Comments/Corrections

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