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2010 | 82 | 10 | 564-572
Tytuł artykułu

Bile Duct Cysts

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Aim of the study was analysis of methods of surgical treatment of patients with bile duct cysts.Material and methods. Retrospective analysis of data from 30 patients who underwent surgical treatment for bile duct cysts in Clinic of General, Transplantation and Liver Surgery, Warsaw Medical University, between 1 October 2001 and 31 December 2009.Results. Bile duct cysts are more common in females; female to male ration is 4:1. Most of the treated patients had bile duct cysts belonging to type I according to Todani classification - 13 patients (43.3%). Six patients (20%) had type IV cysts, 8 patients (26.7%) had type V cysts according to Todani classification. Three patients (10%) with isolated intrahepatic bile duct cysts were not classified to any group according to Todani classification. The most common type of surgical treatment was complete resection of intrahepatic bile duct with choledocho-intestinal Roux-en-Y anastomosis that was performed in 17 patients (56.7%). The other patients generally underwent various types of resections of the liver and bile ducts or only of the liver. Five patients (16.7%) required liver transplantation. Nine patients (30%) developed complications. One patient (3.3%) who underwent liver transplantation and retransplantation, died from progressive multiorgan failure and renal failure.Conclusions. First line treatment of patients with bile duct cysts involves their resection, sometimes with requirement of resection of liver parenchyma. Most of these patients underwent reconstruction of bile duct through choledocho-intestinal Roux-en-Y anastomosis. Some patients undergo liver transplantation. Surgical treatment of patients with bile duct cysts is demanding from the technical point of view and should be undertaken in centers that specialize in hepatobiliary surgery.
Wydawca
Rocznik
Tom
82
Numer
10
Strony
564-572
Opis fizyczny
Daty
wydano
2010-10-01
online
2010-12-06
Twórcy
  • Chair and Department of General, Transplantation and Liver Surgery, Warsaw Medical University
  • Chair and Department of General, Transplantation and Liver Surgery, Warsaw Medical University
  • Chair and Department of General, Transplantation and Liver Surgery, Warsaw Medical University
  • Chair and Department of General, Transplantation and Liver Surgery, Warsaw Medical University
Bibliografia
  • Wiseman K, Buczkowski AK, Chung SW et al.: Epidemiology, presentation, diagnosis, and outcomes of choledochal cysts in adults in an urban environment. Am J Surg 2005; 189: 527-31.
  • Banerjee Jesudason SR, Jesudason MR, Mukha PR et al.: Management of adult choledochal cysts - a 15-year experience. HPB 2006; 8: 299-305.
  • de Vries JS, de Vries S, Aronson DC et al.: Choledochal Cysts: Age of Presentation, Symptoms, and Late Complications Related to Todani's Classification. J Pediatr Surg 2002; 37: 1568-73.
  • Edil BH, Cameron JL, Reddy S et al.: Choledochal Cyst Disease in Children and Adults: A 30-Year Single-Institution Experience. J Am Coll Surg 2008; 206: 1000-08.
  • Atkinson HDE, Fischer CP, de Jong CHC et al.: Choledochal cysts in adults and their complications. HPB 2003; 5: 105-10.
  • Lenriot JP, Gigot JF, Segol P et al.: Bile Duct Cysts in Adults. A Multi-institutional Retrospective Study. Ann Surg 1998; 228; 159-66.
  • Jordan PH, Jr., Goss JA, Jr., Rosenberg WR et al.: Some considerations for management of choledochal cysts. Am J Surg 2004; 187: 434-39.
  • Visser BC, Suh I, Way LW et al.: Congenital Choledochal Cysts in Adults. Arch Surg 2004; 139: 855-62.
  • Zheng LX, Jia HB, Wu DQ et al.: Experience of Congenital Choledochal Cyst in Adults: Treatment, Surgical Procedures and Clinical Outcome in the Second Affiliated Hospital of Harbin Medical University. J Korean Med Sci 2004; 19: 842-47.
  • Calvo-Ponce JA, Reyes-Richa RV, Rodriguez Zentner HA: Cyst of the common hepatic duct: Treatment and proposal for a modification of Todani's classification. Ann Hepatol 2008; 7: 80-82.
  • Metcalfe MS, Wemyss-Holden SA, Maddern GJ: Management Dilemmas With Choledochal Cysts. Arch Surg 2003; 138: 333-39.
  • Babbit DP: Congenital choledochal cysts: new etiological concept based on anomalous relationships of the common bile duct and pancreatic bulb. Ann Radiol 1969; 12: 213-40.
  • Kusunoki M, Saitoh N, Yamamura T et al.: Choledochal cysts. Oligoganglionosis in the narrow portion of the choledochus. Arch Surg 1988; 123: 984-86.
  • Spitz L: Experimental production of cystic dilatation of the comon bile duct in lambs. J Pediatr Surg 1977; 12: 39.
  • Alonso-Lej F, Revor WB, Pessagno DJ: Congenital choledochal cyst, with a report of 2 and an analysis of 94 cases. Surg Gynecol Obst Int Abst Surg 1959; 108: 1-30.
  • Todani T, Watanabe Y, Narusue M et al.: Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg 1977; 134: 263-69.
  • Caroli J, Soupalt J, Kossakowski L et al.: La digitation polykstique congenitale des voico biliares intrahepatiques; essai de classification. Semin Hop Paris 1958; 34: 488-95.
  • Wolthuis AM, Tollens T, Aelvoet C et al.: Choledochal Cyst: Diagnosis and Surgical Treatment. Acta Chir Belg 2007; 107: 338-40.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-010-0084-z
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