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[Surgical treatment of choledochal cysts in children]
Vestnik Khirurgii Imeni I. I. Grekova
|March 1, 1984
Insights
This study evaluated surgical treatments for common bile duct cysts in 32 children. Most patients achieved good outcomes following various surgical interventions and drainage procedures.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Oncology
Context:
- Common bile duct cysts (CBDs) are rare congenital anomalies.
- Diagnosis and management in pediatric patients present unique challenges.
- Surgical intervention is the primary treatment modality for CBDs.
Purpose:
- To evaluate the surgical outcomes for pediatric patients with common bile duct cysts.
- To compare the efficacy of different surgical techniques, including extirpation with hepaticojejunostomy, cystoduodenostomy, cystojejunostomy, and external drainage.
- To assess the long-term results of surgical management in this cohort.
Summary:
- Thirty-two children (2 months to 15 years) with CBDs underwent surgical procedures.
- Surgical approaches included extirpation with hepaticojejunostomy (13 patients), cystoduodenostomy (13), cystojejunostomy (4), and external drainage (3).
- Follow-up ranged from 1 to 10 years, with most patients demonstrating good results.
Impact:
- Provides insights into the effectiveness of various surgical strategies for pediatric CBDs.
- Highlights the favorable outcomes achievable with timely surgical intervention.
- Contributes to the understanding of long-term results in the surgical management of pediatric biliary anomalies.
Abstract:
Examinations and operations were performed in 32 children aged from 2 months to 15 years with common bile duct cysts. The extirpation of the cyst, hepaticojejunostomy were performed in 13 patients, cystoduodenostomy in 13, cystojejunostomy --in 4, external drainage--in 3 patients. The follow-up observations lasted for 1-10 years. Good results were obtained in most of the patients.