Surgical revision and correction of choledochal cysts
Arenas Márquez, H.; López-Neblina, F.; Anaya Prado, R.; Gutiérrez de la Rosa, J.L.; Lua, T.
Revista de Gastroenterologia de Mexico 57(3): 157-160
1992
ISSN/ISBN: 0375-0906 PMID: 1308294 Document Number: 396270
Choledochal cyst are a rare congenital abnormality, seldom treated by the General Surgeon. We report six cases of re-operation found on a eighth year period. Six cysts type I, and one type II (Todani's Classification) were found. On five of them, an internal derivation had been performed, in one patient only a celiotomy was performed, and in another one a colecistectomy. Complete resection of the cyst was performed in six cases. In one female patient, this was impossible, because a carcinoma was found, she died postoperatively. We recommend external bile duct drainage for those cases where a complete resection can not be performed. This option alleviates the symptoms, allows morphological studies and do not compromise the final procedure which must be the complete excision of the cyst.