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Conventional and unconventional surgical modalities for choledochal cyst: Long term follow up (Abstract)

Anshuman Sharma, Anand Pandey, Jiledar Rawat, Intezar Ahmed , Ashish Wakhlu, Shiv Narain Kureel
Department of Pediatric Surgery CSM Medical University Lucknow, India


Abstract

Background: This paper presents our experience of evaluation of various modes of presentation, various surgical methods both conventional and unconventional applied and their outcome on the patients of choledochal cyst.

Method: All patients of choledochal cyst were studied over a period of 10 years (1997-2007). These patients were analysed retrospectively. Data included age, sex, modes of presentation, various surgical techniques, outcome and follow up.

Results: Total number of patients was 35. The most common mode of presentation was recurrent abdominal pain in 20 (57%) patients. It was followed by jaundice in 16 (45%), fever, nausea, vomiting in 10 (28.5%), and others. Roux en Y hepaticojejunostomy was performed in 26 (74%) patients, hepaticoduodenostomy in five (14%) patients, external T-tube drainage in three (8%) patients and cystoduodenostomy in two (5%) patients. Two patients expired in this series. The follow up loss was 20%. Three patients who suffered from cholangitis were managed conservatively. No patient has shown cirrhosis and cholangiocarcinoma up till now.

Conclusion: Choledochal cyst is an important entity in Indian setup. The presentation has a wide spectrum; therefore, different types of surgical intervention would play a significant role in various situations.

Key words: choledochal cyst, surgical techniques, follow up of choledochal cyst.

 

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