Mesenteric cysts have diverse presentation and arise from a variety of sites. They can be successfully managed by complete resection, and laparoscopic excision of the cysts is becoming an increasingly popular option.
The difficulties with pre-operative diagnosis, the high incidence of tumours with potential malignancy, and the good outcome with resection, suggest that all suspected cystic tumours of the pancreas should be resected.
The experience of a 0.43% bile duct injury rate is comparable to the best results from most large series in the West. Inflammation at Calot's triangle is an important associated factor for injury. Early recognition and prompt repair affords good results, and hepaticojejunostomy is recommended as the repair of choice.
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