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01-05-2011

Surgical Experience of 204 Cases of Adult Choledochal Cyst Disease over 14 Years

Authors: Min-Jeong Cho, Shin Hwang, Young-Joo Lee, Ki-Hun Kim, Chul-Soo Ahn, Deok-Bog Moon, Sung-Koo Lee, Myung-Hwan Kim, Sang-Soo Lee, Do-Hyun Park, Sung-Gyu Lee

Published in: World Journal of Surgery | Issue 5/2011

Abstract

Background

This study presents our 14-year surgical experience with adult choledochal cyst disease (CCD), focusing on the clinical outcomes after surgical treatment.

Methods

Medical records of 204 adult patients who had undergone surgery for CCD were reviewed retrospectively.

Results

Median patient age was 40.2 years, and 157 (77%) of the patients were female. Todani classification was type I in 116 patients (56.9%), type II in 1 patient (0.5%), type IVa in 86 patients (42.2%), and type V in 1 patient (0.5%). Extrahepatic cyst excision and hepaticojejunostomy were performed in 185 patients (90.7%). Major perioperative complications occurred in 5 patients (2.5%), resulting in no mortality. Late complications occurred in 48 patients (23.6%). Concurrent cancer was diagnosed in 20 patients (9.8%). Mean age of patients with or without biliary cancer was 48.1 ± 13.2 years and 39.1 ± 11.8 years, respectively (P = 0.001). Anomalous union of the pancreaticobiliary duct was more frequently associated with gallbladder cancer than with bile duct cancer. De novo malignancy at the cyst remnant occurred in 2 patients (1%). The survival outcomes in CCD patients with concurrent biliary cancer were comparable to those in cancer patients without CCD.

Conclusions

As a result of diverse features of adult CCD, various clinical problems occurred after surgical excision. Surgical treatment for adult patients with CCDs having complex features should be individualized to maintain a balance between risk of surgery and potential risk of late complications.

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Title: Surgical Experience of 204 Cases of Adult Choledochal Cyst Disease over 14 Years
Authors: Min-Jeong Cho
Shin Hwang
Young-Joo Lee
Ki-Hun Kim
Chul-Soo Ahn
Deok-Bog Moon
Sung-Koo Lee
Myung-Hwan Kim
Sang-Soo Lee
Do-Hyun Park
Sung-Gyu Lee
Publication date: 01-05-2011
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 5/2011
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-011-1009-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Surgical Experience of 204 Cases of Adult Choledochal Cyst Disease over 14 Years

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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