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- Publisher Website: 10.1016/S0022-3468(85)80238-4
- Scopus: eid_2-s2.0-0021965741
- PMID: 4045673
- WOS: WOS:A1985ANX7500032
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Article: Surgical Management Of Choledochal Cysts: A Review Of 60 Cases
Title | Surgical Management Of Choledochal Cysts: A Review Of 60 Cases |
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Authors | |
Keywords | biliary atresia Choledochal cyst obstructive jaundice |
Issue Date | 1985 |
Publisher | WB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg |
Citation | Journal Of Pediatric Surgery, 1985, v. 20 n. 4, p. 443-448 How to Cite? |
Abstract | Sixty Cases Of Choledochal Cysts In Children Are Reviewed. The Series Comprises 55 Cases Of Alonso-Lej Type I Cysts, Two Cases Whose Cysts Were Infraduodenal And Retropancreatic In Position, And Three Cases Of Choledochal Cysts With Both Proximal And Distal Atresia Of Bile Ducts. The Following Five Types Of Operative Procedures Were Employed For The 58 Cases: (1) Choledochocystoduodenostomy In 12; (2) Partial Excision, Choledochorraphy And Choledocho-Duodenostomy In Six; (3) Cyst Excision, Portal Dissection And Portojejunostomy In Three; (4) Choledochocystojejunostomy Roux-En-Y In 20; And (5) Cyst Excision With Hepaticojejunostomy Roux-En-Y In 17 Cases. Two Patients Did Not Receive Definitive Surgical Treatment. Early Complications Included Six Cases Of Leakage, Of Which One Died; And Four Cases Of Cholangitis And Septicemia, Resulting In Fatality In All. The Overall Operative Mortality Was 5/58 (8.6%). This Review, Though Retrospective In Nature, Further Supports The More Recent Trend That Radical Cyst Excision With Hepaticojejunostomy Is The Treatment Of Choice. This Procedure Carried No Mortality And Low Morbidity. All 17 Patients Treated In This Manner Are Well And Free From Jaundice And Recurrent Cholangitis. Cyst Excision Eliminates The Reservoir For Bile Stasis, Biliary Obstruction, Cholangitis, And Biliary Cirrhosis. It Also Removes The Possibility Of Malignant Change In The Cyst And Spontaneous Rupture. |
Persistent Identifier | http://hdl.handle.net/10722/220843 |
ISSN | 2023 Impact Factor: 2.4 2023 SCImago Journal Rankings: 0.949 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Saing, H | en_US |
dc.contributor.author | Tam, PKH | en_US |
dc.contributor.author | Lee, JMH | en_US |
dc.contributor.author | Pe-Nyun | en_US |
dc.date.accessioned | 2015-10-19T07:34:21Z | - |
dc.date.available | 2015-10-19T07:34:21Z | - |
dc.date.issued | 1985 | - |
dc.identifier.citation | Journal Of Pediatric Surgery, 1985, v. 20 n. 4, p. 443-448 | en_US |
dc.identifier.issn | 0022-3468 | - |
dc.identifier.uri | http://hdl.handle.net/10722/220843 | - |
dc.description.abstract | Sixty Cases Of Choledochal Cysts In Children Are Reviewed. The Series Comprises 55 Cases Of Alonso-Lej Type I Cysts, Two Cases Whose Cysts Were Infraduodenal And Retropancreatic In Position, And Three Cases Of Choledochal Cysts With Both Proximal And Distal Atresia Of Bile Ducts. The Following Five Types Of Operative Procedures Were Employed For The 58 Cases: (1) Choledochocystoduodenostomy In 12; (2) Partial Excision, Choledochorraphy And Choledocho-Duodenostomy In Six; (3) Cyst Excision, Portal Dissection And Portojejunostomy In Three; (4) Choledochocystojejunostomy Roux-En-Y In 20; And (5) Cyst Excision With Hepaticojejunostomy Roux-En-Y In 17 Cases. Two Patients Did Not Receive Definitive Surgical Treatment. Early Complications Included Six Cases Of Leakage, Of Which One Died; And Four Cases Of Cholangitis And Septicemia, Resulting In Fatality In All. The Overall Operative Mortality Was 5/58 (8.6%). This Review, Though Retrospective In Nature, Further Supports The More Recent Trend That Radical Cyst Excision With Hepaticojejunostomy Is The Treatment Of Choice. This Procedure Carried No Mortality And Low Morbidity. All 17 Patients Treated In This Manner Are Well And Free From Jaundice And Recurrent Cholangitis. Cyst Excision Eliminates The Reservoir For Bile Stasis, Biliary Obstruction, Cholangitis, And Biliary Cirrhosis. It Also Removes The Possibility Of Malignant Change In The Cyst And Spontaneous Rupture. | en_US |
dc.language | eng | en_US |
dc.publisher | WB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg | en_US |
dc.relation.ispartof | Journal Of Pediatric Surgery | en_US |
dc.subject | biliary atresia | - |
dc.subject | Choledochal cyst | - |
dc.subject | obstructive jaundice | - |
dc.title | Surgical Management Of Choledochal Cysts: A Review Of 60 Cases | en_US |
dc.type | Article | en_US |
dc.identifier.email | Tam, PKH:paultam@hkucc.hku.hk | - |
dc.identifier.authority | Tam, PKH=rp00060 | - |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1016/S0022-3468(85)80238-4 | - |
dc.identifier.pmid | 4045673 | - |
dc.identifier.scopus | eid_2-s2.0-0021965741 | - |
dc.identifier.volume | 20 | - |
dc.identifier.issue | 4 | - |
dc.identifier.spage | 443 | - |
dc.identifier.epage | 448 | - |
dc.identifier.isi | WOS:A1985ANX7500032 | - |
dc.identifier.issnl | 0022-3468 | - |