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Surgical management of choledocal cyst in different techniques: a 4-year experience


MOJ Surgery
Sahadeb Kumar Das,1 Kaniz Hasina,2 Ashraf Ul Huq,2 Abdul Hanif,2 Mohammed Shadrul Alam,2 Jaglul Gaffer Khan3

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Abstract

Objective: The aim of this study was to evaluate the efficacy and complications of different techniques in the treatment of choledochal cyst in children.
 
Materials and methods: Data was collected retrospectively from 32 patients with choledocal cyst (type I), managed in the Department of Pediatric Surgery, Dhaka Medical College and Hospital (DMCH), Dhaka, Bangladesh conducted during the period of January 2015 to December 2018. Roux-en-Y hepatico-jejunostomy, Hepatico-duodenostomy,Choledocho-cholecysto-duodenostomy, Hepatico-jejunostomy done in 9, 14, 3 and 6 patients respectively.
 
Results: There were 8 males and 24 females. The age of patients at diagnosis varied from 13 months to 12 years (mean age 71.9 months). The early postoperative complication rate after cyst excision and biliary reconstruction was 12.5% (4 of 32). One patient in each type (1/9, 1/14, 1/3, 1/6) of operation developed an anastomotic leakage and there was no mortality.
 
Conclusions: Hepatico-duodenostomy is an acceptable technique in the management of choledocal cyst as it’s a simple, quick technique and being more physiological with maintaining normal anatomy in attaining biliary drainage.

Keywords

roux-en-Y hepatico-jejunostomy, hepatico-duodenostomy, choledochocholecysto-duodenostomy, hepatico-jejunostomy, choledocal cyst

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