PMID: 9189084Jun 1, 1997Paper

Reoperative surgery for choledochal cysts

The British Journal of Surgery
A ChaudharyA Sachdev

Abstract

Complications often follow if a choledochal cyst is treated simply by drainage, either internal or external. This study reviews 17 patients who had had previous cystoenterostomy (n = 9) or external drainage (n = 8) and who required reoperation and cyst excision. The study was a retrospective review including ten women and seven men managed over 9 years. The indications for reoperation were stone formation (10 patients), pancreatitis (three), portal hypertension (two) and hepatic abscess (one); two patients were asymptomatic. Definitive surgery with cyst excision was possible in all patients who had previously had external cyst drainage and in seven of nine who had had previous cystoenterostomy. There were no deaths. Two postoperative biliary leaks and two duodenal fistulas resolved spontaneously. Excision of a choledochal cyst is possible and desirable even after a previous drainage operation. In severely ill patients with a complication of choledochal cyst, external drainage may be a preferable initial manoeuvre.

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Citations

Feb 2, 2013·The Indian Journal of Surgery·Chiranjiva KhandelwalRajeev N Priyadarshi
Oct 2, 2013·The Indian Journal of Surgery·Chiranjiv KhandelwalRajeev N Priyadarshi
Dec 26, 2006·Annals of Surgical Oncology·Kjetil Søreide, Jon Arne Søreide
Jul 25, 2012·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Mahendra S BhavsarVenugopal H Giriyappa
Dec 3, 2014·Journal of the American College of Surgeons·Kevin C SoaresTimothy M Pawlik
Apr 1, 2014·The Surgical Clinics of North America·Ronald F Martin
Nov 19, 2004·The British Journal of Surgery·K SöreideJ A Söreide
Jul 1, 2012·Medical Journal, Armed Forces India·Manoj Kumar, S Rajagopalan
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·H D E AtkinsonO J Garden

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