Pediatrics & Therapeutics
Open Access
ISSN: 2161-0665
+44 1478 350008
ISSN: 2161-0665
+44 1478 350008
Hemonta Kr Dutta, P K Deuri and D Saikia
Assam Medical College, India
Posters & Accepted Abstracts: Pediat Therapeut
Medical records of 26 patients treated for choledochal cyst over a period of 17 years were reviewed and long term outcome was evaluated based on the type of cyst and the operative procedures adopted. Of the 26 patients 17 (65.4%) were females and 9 (34.6%) males. The mean age of initial operation was 16.5 months. 12 patients had Todani��?s type I cysts, 1 had type II cyst and 13 had type IV cyst. Two of the type IV cyst had diffuse involvement of the liver and 11 had type IV A cysts. Of the 11 type IV A cysts, 8 had involvement of segments II, III and IV, 2 had segments V, VI, VII and VIII and 1 had segments II, III, IV and V of the liver. 24 patients presented with pain abdomen, 10 had lump and only 9 had jaundice at initial presentation. The classic triad was present in only 3 patients. Choledocho and hepatolithiasis were present in 6 cases. Cyst excision and Roux-en-Y hepaticojejunostomy was done in 15 patients. Cyst excision and hepatic lobectomy and mucosectomy of residual cyst and Roux-en-Y hepaticojejunostomy (side of the opened up cyst wall with side of the jejunal loop) was done in 11 patients who had type IV A cysts. Follow up period ranged from 6 months to 17 years (mean). 6 patients, 3 of type I, 2 with diffuse intrahepatic cyst and 1 with type IV A cyst developed post-operative complications, such as cholangitis and intrahepatic bile duct stones. Reoperation was necessary in one patient. None of the patients with type IV A cysts had any significant post-operative complications. Growth and development of 30 age and sex matched children were compared with the patients. Growth and development of children who developed post-operative complications were found to be below normal than the group without any complications.
Email: hemontdut@gmail.com