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Choledochal Cyst Excision in Infants—A Retrospective Study

A choledochal cyst is a rare malformation primarily diagnosed in children. The only effective therapy remains surgical cyst resection followed by Roux-en-Y hepaticojejunostomy. Treating asymptomatic neonates remains a point of discussion. Between 1984 and 2021, we performed choledochal cyst (CC) exc...

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Autores principales: Kowalski, Adam, Kowalewski, Grzegorz, Kaliciński, Piotr, Pankowska-Woźniak, Katarzyna, Szymczak, Marek, Ismail, Hor, Stefanowicz, Marek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9954880/
https://www.ncbi.nlm.nih.gov/pubmed/36832502
http://dx.doi.org/10.3390/children10020373
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author Kowalski, Adam
Kowalewski, Grzegorz
Kaliciński, Piotr
Pankowska-Woźniak, Katarzyna
Szymczak, Marek
Ismail, Hor
Stefanowicz, Marek
author_facet Kowalski, Adam
Kowalewski, Grzegorz
Kaliciński, Piotr
Pankowska-Woźniak, Katarzyna
Szymczak, Marek
Ismail, Hor
Stefanowicz, Marek
author_sort Kowalski, Adam
collection PubMed
description A choledochal cyst is a rare malformation primarily diagnosed in children. The only effective therapy remains surgical cyst resection followed by Roux-en-Y hepaticojejunostomy. Treating asymptomatic neonates remains a point of discussion. Between 1984 and 2021, we performed choledochal cyst (CC) excision in 256 children at our center. Out of this group, we retrospectively reviewed the medical records of 59 patients who were operated on under one year of age. Follow-up ranged from 0.3 to 18 years (median 3.9 years). The preoperative course was asymptomatic in 22 (38%), while 37 patients (62%) had symptoms before surgery. The late postoperative course was uneventful in 45 patients (76%). In symptomatic patients, 16% had late complications, while in asymptomatic patients, only 4%. Late complications were observed in the laparotomy group in seven patients (17%). We did not observe late complications in the laparoscopy group. Early surgical intervention is not followed by a high risk of complications and may prevent the onset of preoperative complications, giving excellent early and long-term results, especially after minimally invasive laparoscopic surgery.
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spelling pubmed-99548802023-02-25 Choledochal Cyst Excision in Infants—A Retrospective Study Kowalski, Adam Kowalewski, Grzegorz Kaliciński, Piotr Pankowska-Woźniak, Katarzyna Szymczak, Marek Ismail, Hor Stefanowicz, Marek Children (Basel) Article A choledochal cyst is a rare malformation primarily diagnosed in children. The only effective therapy remains surgical cyst resection followed by Roux-en-Y hepaticojejunostomy. Treating asymptomatic neonates remains a point of discussion. Between 1984 and 2021, we performed choledochal cyst (CC) excision in 256 children at our center. Out of this group, we retrospectively reviewed the medical records of 59 patients who were operated on under one year of age. Follow-up ranged from 0.3 to 18 years (median 3.9 years). The preoperative course was asymptomatic in 22 (38%), while 37 patients (62%) had symptoms before surgery. The late postoperative course was uneventful in 45 patients (76%). In symptomatic patients, 16% had late complications, while in asymptomatic patients, only 4%. Late complications were observed in the laparotomy group in seven patients (17%). We did not observe late complications in the laparoscopy group. Early surgical intervention is not followed by a high risk of complications and may prevent the onset of preoperative complications, giving excellent early and long-term results, especially after minimally invasive laparoscopic surgery. MDPI 2023-02-14 /pmc/articles/PMC9954880/ /pubmed/36832502 http://dx.doi.org/10.3390/children10020373 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kowalski, Adam
Kowalewski, Grzegorz
Kaliciński, Piotr
Pankowska-Woźniak, Katarzyna
Szymczak, Marek
Ismail, Hor
Stefanowicz, Marek
Choledochal Cyst Excision in Infants—A Retrospective Study
title Choledochal Cyst Excision in Infants—A Retrospective Study
title_full Choledochal Cyst Excision in Infants—A Retrospective Study
title_fullStr Choledochal Cyst Excision in Infants—A Retrospective Study
title_full_unstemmed Choledochal Cyst Excision in Infants—A Retrospective Study
title_short Choledochal Cyst Excision in Infants—A Retrospective Study
title_sort choledochal cyst excision in infants—a retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9954880/
https://www.ncbi.nlm.nih.gov/pubmed/36832502
http://dx.doi.org/10.3390/children10020373
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