Annals of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회지)

The Korean Association of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회)
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Long-term complications after extrahepatic cyst excision for type IV-A choledochal cysts

  • Utpal Anand (Department of Surgical Gastroenterology, All India Institute of Medical Sciences) ;
  • Aaron George John (Department of Surgical Gastroenterology, All India Institute of Medical Sciences) ;
  • Rajeev Nayan Priyadarshi (Department of Radiodiagnosis, All India Institute of Medical Sciences) ;
  • Ramesh Kumar (Department of Medical Gastroenterology, All India Institute of Medical Sciences) ;
  • Basant Narayan Singh (Department of Surgical Gastroenterology, All India Institute of Medical Sciences) ;
  • Kunal Parasar (Department of Surgical Gastroenterology, All India Institute of Medical Sciences) ;
  • Bindey Kumar (Department of Pediatric Surgery, All India Institute of Medical Sciences)
  • Received : 2023.02.15
  • Accepted : 2023.03.28
  • Published : 2023.11.30
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Abstract

Forty-five adults with type IV-A choledochal cysts (CDC) who underwent extrahepatic cyst excision from January 2013 to December 2021 were followed up for a median interval of 25 months (range, 2 to 10 years) to observe the long-term complications in the remaining intrahepatic cyst. Late complications in varying combinations were seen in 10 patients, which included cholangitis and/or intrahepatic stones in 9 patients, intrahepatic bile duct stenosis with stones in 2 patients, anastomotic stricture in 6 patients, and left lobar atrophy with intrahepatic stones in 3 patients. Out of 6 patients who required re-do hepaticojejunostomy (HJ), three patients had left lobe atrophy with patent HJ anastomosis and a recurrent attack of cholangitis on follow-up at 3, 8, and 10 years. Complications occur frequently after extrahepatic cyst excision for type IV-A CDC and require a long-term follow-up.

Keywords

References

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