Related Experiment Video

Updated: Sep 19, 2026

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
04:03

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery

Published on: March 28, 2025

Choledochal cyst: varied clinical presentations and long-term results of surgery

M Samuel1, L Spitz

  • 1Department of Paediatric Surgery, Great Ormond Street Hospital for Children, London, UK.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|April 1, 1996
PubMed

Insights

Choledochal cyst treatment in children shows Roux-en-Y hepaticojejunostomy after complete cyst excision yields excellent long-term outcomes with fewer complications than other surgical approaches.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Hepatobiliary Surgery

Background:

  • Choledochal cysts are congenital dilations of the biliary tract.
  • Clinical presentation in children varies, often differing from the classical triad.
  • Long-term outcomes and optimal surgical management require further investigation.

Purpose of the Study:

  • To review the clinical features and long-term outcomes of pediatric choledochal cyst cases.
  • To evaluate the effectiveness of different surgical interventions for choledochal cysts.
  • To identify the optimal surgical approach for choledochal cyst management in children.

Main Methods:

  • Retrospective review of 21 children with choledochal cysts treated over 31 years.
  • Analysis of clinical presentations, diagnostic findings, and surgical procedures.
  • Comparison of long-term outcomes and complications based on surgical technique.

Main Results:

  • Jaundice was the most common presentation in infants; only 14% of older children had the classical triad.
  • Pancreatitis (n=8), cholangitis (n=3), and biliary cirrhosis (n=2) were significant associated conditions.
  • Complete choledochal cyst excision with Roux-en-Y hepaticojejunostomy resulted in excellent long-term outcomes with minimal complications compared to cyst enterostomies.

Conclusions:

  • Complete excision of choledochal cysts combined with Roux-en-Y hepaticojejunostomy is the preferred surgical method for children.
  • Early diagnosis and appropriate surgical management are crucial for favorable long-term outcomes.
  • Alternative procedures like cyst enterostomies are associated with higher rates of complications such as recurrent cholangitis and stricture formation.

More Related Videos

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture04:02

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Related Concept Videos

Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...