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Silva-Baez H, Coello-Ramírez P, Ixtabalán-Escalante EM, et al. Treatment of choledochal cyst in a pediatric population. A single institution experience of 15-years. Case series. Ann Med Surg (Lond). 2015;5:81-5doi: 10.1016/j.amsu.2015.12.054.
Silva-Baez, H., Coello-Ramírez, P., Ixtabalán-Escalante, E. M., Sotelo-Anaya, E., Gallo-Morales, M., Cordero-Estrada, E., Sainz-Escarrega, V. H., & Ploneda-Valencia, C. F. (2016). Treatment of choledochal cyst in a pediatric population. A single institution experience of 15-years. Case series. Annals of medicine and surgery (2012), 581-5. https://doi.org/10.1016/j.amsu.2015.12.054
Silva-Baez, Hector, et al. "Treatment of choledochal cyst in a pediatric population. A single institution experience of 15-years. Case series." Annals of medicine and surgery (2012) vol. 5 (2016): 81-5. doi: https://doi.org/10.1016/j.amsu.2015.12.054
Silva-Baez H, Coello-Ramírez P, Ixtabalán-Escalante EM, Sotelo-Anaya E, Gallo-Morales M, Cordero-Estrada E, Sainz-Escarrega VH, Ploneda-Valencia CF. Treatment of choledochal cyst in a pediatric population. A single institution experience of 15-years. Case series. Ann Med Surg (Lond). 2015 Dec 21;5:81-5. doi: 10.1016/j.amsu.2015.12.054. eCollection 2016 Feb. PMID: 26900456; PMCID: PMC4724022.
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Ann Med Surg (Lond). 2015 Dec 21;5:81-5. doi: 10.1016/j.amsu.2015.12.054. eCollection 2016 Feb.

Treatment of choledochal cyst in a pediatric population. A single institution experience of 15-years. Case series.

Annals of medicine and surgery (2012)

Hector Silva-Baez, Pedro Coello-Ramírez, Eddy Mizraím Ixtabalán-Escalante, Eduardo Sotelo-Anaya, Mariana Gallo-Morales, Eduardo Cordero-Estrada, Victor Hugo Sainz-Escarrega, César Felipe Ploneda-Valencia

Affiliations

  1. Pediatric Division, Pediatric Surgery Department at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.
  2. Pediatric Division, Gastroenterology Department at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.
  3. Surgery Division, General Surgery Department at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.

PMID: 26900456 PMCID: PMC4724022 DOI: 10.1016/j.amsu.2015.12.054

Abstract

BACKGROUND: Choledochal cyst (CC) is a rare congenital anomaly of the bile duct that approximately 75% of the patients are diagnosed in childhood. Without a standardized surgical procedure for the biliary reconstruction, we present our experience over the last 15 years and show the differences between the biliary reconstructions techniques in our population.

METHODS: We did a retrospective hospital archive search for patients admitted to the pediatric surgery department with the diagnosis of a choledochal cyst from January 2000 to June 2015.

RESULTS: We found 15 patients, of which, 1 was excluded because of missing data from the hospital record. Of the remaining 14, eight had hepaticojejunal (HY) anastomosis in Roux-en-Y, with a 25% rate of complications; six had hepatoduodenal (HD) anastomosis with a rate of complications of 16.6%. The average hospital length of stay in the group of HD vs. HY was 14 ± 1.6-days vs. 19 ± 8.2-days respectively.

DISCUSSION: There are no standardized surgical reconstruction techniques of the biliary tract after the CC excision, there is literature that supports the biliary reconstruction with an HY and an HD without a distinct advantage over one or the other.

CONCLUSION: In our series HD anastomosis represents a safe procedure with fewer complications than HY.

Keywords: Choledochal cyst; Choledochal cyst treatment; Hepatoduodenal anastomosis; Hepatojejunal anastomosis

References

  1. J Pediatr Surg. 2010 Mar;45(3):540-4 - PubMed
  2. J Gastrointest Surg. 2014 Aug;18(8):1462-8 - PubMed
  3. J Pediatr Surg. 2012 May;47(5):885-8 - PubMed
  4. J Pediatr Surg. 2013 Nov;48(11):2336-42 - PubMed
  5. Korean J Radiol. 2009 Jan-Feb;10(1):71-80 - PubMed
  6. J Pediatr Surg. 1997 Jul;32(7):1097-102 - PubMed
  7. J Hepatobiliary Pancreat Sci. 2013 Jun;20(5):487-91 - PubMed
  8. J Pediatr Surg. 1997 Nov;32(11):1563-6 - PubMed
  9. J Pediatr Surg. 2013 Dec;48(12):2378-82 - PubMed
  10. Ann Radiol (Paris). 1969;12(3):231-40 - PubMed
  11. Saudi J Gastroenterol. 2012 Jul-Aug;18(4):230-6 - PubMed
  12. J Hepatobiliary Pancreat Surg. 2003;10 (5):340-4 - PubMed
  13. Hum Pathol. 2014 Oct;45(10):2107-14 - PubMed
  14. Int Surg. 2015 Jan;100(1):115-22 - PubMed
  15. World J Gastroenterol. 2014 Jun 14;20(22):7061-6 - PubMed
  16. J Pediatr Surg. 2002 Nov;37(11):1568-73 - PubMed
  17. J Am Coll Surg. 2014 Dec;219(6):1167-80 - PubMed
  18. J Pediatr Surg. 2010 Feb;45(2):376-8 - PubMed
  19. J Laparoendosc Adv Surg Tech A. 2012 Jul-Aug;22(6):599-603 - PubMed
  20. J Hepatobiliary Pancreat Sci. 2013 Jun;20(5):472-80 - PubMed
  21. J Pediatr Surg. 2011 Jan;46(1):209-13 - PubMed
  22. J Surg Res. 2012 Oct;177(2):e59-63 - PubMed
  23. Br J Surg. 1995 Jun;82(6):829-32 - PubMed
  24. Ann Surg. 1970 Nov;172(5):844-51 - PubMed
  25. Am J Surg. 2005 May;189(5):527-31; discussion 531 - PubMed

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