Eight patients of choledochal cyst have been diagnosed and six have been managed surgically. There were two children and six adults. Both the children had Type I cyst. They were managed by excision of the cysts. One lady with associated stone and carcinoma of the gall bladder underwent radical cholecystectomy with excision of segments IV and V of liver. Second lady with intrahepatic porcelain gall bladder had a choledochocele and was treated by transduodenal sphincteroplasty. Fifth patient, an 82 years old man with symptomatic gall stone with Type I choledochal cyst was subjected to just a cholecysto-jejunostomy. A 54 years old man with a Type IV cysts has undergone excision of the cyst. In patients undergoing excision of choledochal cysts, the biliary tract was reconstructed by a Roux-en-Y hepaticojejunostomy. Two of our patients never turned up for surgery. All the operated patients were asymptomatic during the follow-up period of 6 months to 24 months.
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| http://dx.doi.org/10.1016/S0377-1237(17)30266-6 | DOI Listing |
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