Palmer-Becerra JD, Ulloa- Patiño P

Language: Spanish
References: 12
Page: 11-15
PDF size: 439.75 Kb.

ABSTRACT

Objective: To identify the frequency and to discuss our experience in the treatment of the choledochal cyst of children in 24 years.
Introduction. Choledochal cysts are a rare entity of the bile duct in childhood. There are many theories about their origin and clinical variables. Treatment is surgical.
Material and methods. The charts of patients diagnosed with choledochal cyst were reviewed from August 1984 to December 2008. Age, sex, clinical features, diagnostic method, surgery performed, morbidity and mortality were recorded.
Results. There were 25 patients, 18 females (72%) and 7 males (28%), mean age was 5.5 years. Abdominal pain the main symptom in 24 patients (96%); jaundice in 4 patients (16%); a palpable mass in 8 patients (32%) and vomiting in 6 patients (24%). Type I of choledochal cyst was the most common according to Todani in 23 patients (92%) ant type II in two patients (8%). Abdominal ultrasound is diagnostic of choledochal cyst in 100% of patients. Surgical treatment was complete resection of the cyst with cholecystectomy and Lilly´s method was performed in 18 patients (72%) and Lilly´s method with cholecystectomy and hepatojejunostomy with Roux-in-Y in 7 patients (28%). Morbidity was 12% and mortality, 8%.
Conclusion. Choledochal cyst is a rare entity in children. Type I is the most frequent. Prognosis is good.

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