Hepaticoduodenostomy at the hepatic hilum after excision of choledochal cyst

Todani, Takuji; Watanabe, Yasuhiro; Mizuguchi, Takashi; Fujii, Tadashi; Toki, Akira

doi:10.1016/0002-9610(81)90431-1

Cited by 85 publications

(66 citation statements)

References 10 publications

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“…Various treatment options of biliary reconstruction after complete cyst excision described are hepaticojejunostomy, hepaticoduodenostomy, jejunal interposition hepaticoduodenostomy, valved jejunal interposition hepaticoduodenostomy, nonrefluxing biliary appendicoduodenostomy, hepaticoantrostomy, and wide hilar hepaticojejunostomy [5,7,[16][17][18][19]. Cystoduodenostomy and cystojejunostomy have been abandoned because of high frequency of cholangitis, stone formation, portal hypertension, secondary biliary cirrhosis, and cholangiocarcinoma arising from the retained cyst [5].…”

Section: Discussionmentioning

confidence: 99%

“…Cystoduodenostomy and cystojejunostomy have been abandoned because of high frequency of cholangitis, stone formation, portal hypertension, secondary biliary cirrhosis, and cholangiocarcinoma arising from the retained cyst [5].…”

Section: Discussionmentioning

confidence: 99%

“…Hepaticoduodenostomy is a more physiological procedure, simpler to perform, and associated with fewer complications such as adhesive bowel obstruction, anastomotic leakage, and peptic ulcer as compared to Roux-en-Y hepaticojejunostomy [2,5]. Hepaticoduodenostomy requires less operative time, allows faster recovery of bowel function, and produces fewer complications requiring reoperation [6].…”

Section: Discussionmentioning

confidence: 99%

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Hepaticoduodenostomy for Biliary Reconstruction After Surgical Resection of Choledochal Cyst: a 25-Year Experience

Patil

Kanetkar²,

Talpallikar

2012

Indian J Surg

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We reviewed our experience of hepaticoduodenostomy done for choledochal cyst from 1982 to 2007 at our center. The aim of the study was to evaluate the efficacy of hepaticoduodenostomy as a mode of biliary reconstruction after surgical resection of choledochal cyst, to look for any complications associated with hepaticoduodenostomy, with review of the literature. A total of 56 patients underwent hepaticoduodenostomy after surgical resection of choledochal cyst, of which 54 patients underwent primary cyst excision with hepaticoduodenostomy and 2 patients underwent redo surgery (hepaticoduodenostomy). Most of the patients had an uneventful postoperative recovery. Early complications were biliary leak in three patients which subsided on conservative treatment. Long-term complication was seen in only one patient who developed anastomotic stricture 18 years after primary resection of choledochal cyst and hepaticoduodenostomy. Hepaticoduodenostomy is a relatively safe procedure with very low complication rates. It requires a single anastomosis and is simple to perform.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Hepaticoduodenostomy for Biliary Reconstruction After Surgical Resection of Choledochal Cyst: a 25-Year Experience

Patil

Kanetkar²,

Talpallikar

2012

Indian J Surg

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“…1) [1,5,6,[14][15][16][17][18]. The management of choledochal cysts are mainly surgical [1,2,5,14,[17][18][19][20][21][22][23]. However in selected cases, a choledochocele may be treated by endoscopic sphincterotomy [14].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Retrograde Cholangiopancreatography in the Diagnosis and Management of Choledochal Cysts

Akkız

Colakoğlu²,

Ergün³

et al. 1997

HPB Surgery

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“…Todani and coworkers have preferred to use hepaticoduodenostomy after cyst excision. 13 Regarding hepaticoduodenostomy cases long term follow up revealed the complications of chronic recurrent cholangitis due to reflux into biliary tree from the duodenum, resulting chronic inflammation and anastomotic stenosis. This led to insidious development of of severe biliary cirrhosis and portal hypertension.…”

mentioning

confidence: 99%