Sign In
Register
eISSN:2278-5299

International Journal of Latest Research in Science and Technology

DOI:10.29111/ijlrst   ISRA Impact Factor:3.35

A News Letter Sign UP!
MANAGEMENT OF ADULT CHOLEDOCHAL CYSTS: A 10 ? YEAR EXPERIENCE

Research Paper Open Access

International Journal of Latest Research in Science and Technology Vol.5 Issue 2, pp 65-68,Year 2016

MANAGEMENT OF ADULT CHOLEDOCHAL CYSTS: A 10 ? YEAR EXPERIENCE

D.F. Voicu , D. Firescu , Doina Voinescu

Correspondence should be addressed to :

Received : 15 April 2016; Accepted : 22 April 2016 ; Published : 30 April 2016

Share
Download 125
View 178
Article No. 10641
Abstract

The aim of this paper is to show the different diagnostic procedures and treatment, in patients diagnosed with choledochal cysts. Choledochal cysts are congenital anomalies of the bile ducts and include cystic dilatation of the extrahepatic and intrahepatic biliary ducts or both. The study shows six patients, diagnosed as having type Ic choledochal cysts, according to the Todani classification. Diagnosis was established by clinical and radiographic findings including: ultrasound (US), magnetic resonance cholangiopancreatography (MRCP) and intraoperative cholangiography (IOC). All patients underwent surgical treatment with a total cyst excision, cholecystectomy and Roux-en-Y hepaticojejunostomy, followed by a good and uneventful recovery. Total cyst excision is recommended for reducing cyst related complications and risk of cholangiocarcinoma. Also, a long term review, is necessary due to recurrent cholangitis or pancreatitis, that may occur in patients with these cystic lesions. The epidemiology, diagnosis, surgical treatment, and risk of cancer in choledochal cysts were reviewed according to relevant published literature.

Key Words   
Choledochal cyst, ultrasound, magnetic resonance cholangiopancreatography, intraoperative cholangiog

Copyright
References
  1. Popovici A, Mitulescu G, Hortopan Monica, Stanciu C. - Dilataţia chistică a căii biliare principale. Chirurgia. 2000; 95(2): 139-155.
  2. Howard E.R. - Choledochal cysts, in Maingot’s Abdominal Operations, Appleton Century Crofts (Norwalk- Connecticut) 1995, 1789-1808.
  3. Gleen E, McSherry CK. - Congenital segmental cystic dilatation of the biliary ductal system, Ann Surg. 1973; 177: 705-713.
  4. Târcoveanu E, Lupascu C., Neacsu C., Crumpei F, Vasilescu A. - Chistul de coledoc, Jurnalul de Chirurgie Iasi 2007, 2(3):164-170.
  5. Târcoveanu E, Niculescu D, Georgescu Şt, Cotea Elena, Vintilă D, Dimofte G, Neacşu CN, Lupaşcu C, Crumpei Felicia - Dilataţia chistică congenitală a căilor biliare la adult. Rev Med Chir Soc Med Nat Iasi. 2003; 107(4): 817-821.
  6. Todani T, Watanabe Y et colab. – Congenital bile duct cysts, Am.J.Surg. 1977, 134: 263-269
  7. Buşu I, Nemeş R, Paitici P, Mogoş D, Georgescu I. - Consideraţii clinice şi terapeutice cu privire la 4 cazuri de chist congenital de coledoc. Chirurgia. 1983; 6: 365-370.
  8. Duca S, Badea R, Popa E L, Acalovschi I, Dragomir L. - Dilataţia chistică congenitală a căilor biliare. 1988; 37(4): 297-304.
  9. Buşu I, Nemeş R, Paitici P, Mogoş D, Georgescu I. - Consideraţii clinice şi terapeutice cu privire la 4 cazuri de chist congenital de coledoc. Chirurgia. 1983; 6: 365-370.
  10. Nakata H., Nobe T. et colab.- Choledochal cyst, Comput.Assist. Tomogr.1991,5:99-101.
  11. Bologa S, Todor V, Tompa Şt, Mircea P, Miu I. – Dilataţia chistică congenitală a căii biliare Principale, 1990; 2: 139-144.
  12. Voicu D.F., Voicu Fl., Gabrovescu D. – Dilatatie congenitala chistica a caii biliare principale, Chirurgia 2001; 4(96):387-392.
  13. Khandelwal C., Anand U., Kumar B., Priyardarshi NR.: Diagnosis and Management of choledochal cysts. Indian J Surg. 2012 74(5): 401 – 406.
  14. Metcalfe MS., Wemyss-Holden SA., Madern GJ.: Management dilemmas with choledochal cysts. Arch Surg. 2003 138(3):333 – 339.
  15. Dragomirescu C, Ghica D, Petrescu R, Copăescu C, Liţescu M, Androne M, Alina Nicoară. – Dilataţii congenitale ale căilor biliare, cu expresie clinică la adult. Chirurgia. 1999; 94: 91-95.
  16. Mettler F.A., Wicks J.D. - Diagnostic imaging of choledochal cysts, Nucl. Med. 1991, 6:513-520.
  17. Kagawa Y., Kashihara S. - Carcinoma arising in a congenitally dilated biliary tract, Gastroenterology 1978, 74:1286-1292.
  18. Juvara I, Setlacec D, Rădulescu D, Gavrilescu S. - Chirurgia căilor biliare extrahepatice Bucureşti, Editura Medicală; 1989. p. 218-226.
  19. Woon CY, Tan YM, Oei CL, Chung AY, Chow PK, Ooi LL. - Adult choledochal cysts: an audit of surgical management. ANZ J Surg. 2006; 76(11): 981-986.
  20. Farello GA, Cerofolini A, Rebonato M, Bergamaschi G, Ferrari C, Chiappetta A - Congenital choledochal cyst: video-guided laparoscopic treatment. Surg Laparosc Endosc.1995; 5(5): 354-359.
To cite this article

D.F. Voicu , D. Firescu , Doina Voinescu , " Management Of Adult Choledochal Cysts: A 10 ? Year Experience ", International Journal of Latest Research in Science and Technology . Vol. 5, Issue 2, pp 65-68 , 2016

Responsive image

MNK Publication was founded in 2012 to upholder revolutionary ideas that would advance the research and practice of business and management. Today, we comply with to advance fresh thinking in latest scientific fields where we think we can make a real difference and growth now also including medical and social care, education,management and engineering.

Responsive image

We offers several opportunities for partnership and tie-up with individual, corporate and organizational level. We are working on the open access platform. Editors, authors, readers, librarians and conference organizer can work together. We are giving open opportunities to all. Our team is always willing to work and collaborate to promote open access publication.

Responsive image

Our Journals provide one of the strongest International open access platform for research communities. Our conference proceeding services provide conference organizers a privileged platform for publishing extended conference papers as journal publications. It is deliberated to disseminate scientific research and to establish long term International collaborations and partnerships with academic communities and conference organizers.