The Todani Classification for Bile Duct Cysts: an Overview

Dumitraşcu, Traian; Lupescu, Ioana Gabriela; Ionescu, M

doi:10.1080/00015458.2012.11680849

Cited by 24 publications

(17 citation statements)

References 1 publication

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“…A choledochal cyst is a rare benign disease of the biliary tract 1. Almost 80% of cases are diagnosed in the first decade of life, and this disease is four times more common in women.…”

Section: Introductionmentioning

confidence: 99%

Robot resection of a choledochal cyst with Roux-en-y hepaticojejunostomy in adults: Initial experiences with 22 cases and a comparison with laparoscopic approaches

Han

Lee

Hwang

et al. 2018

Ann Hepatobiliary Pancreat Surg

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Backgrounds/AimsIn adult choledochal cysts, complete excision of cyst with Roux-en-Y hepaticojejunostomy by laparoscopy is typically been performed, but there is now a trend towards adopting robot-assisted resection.MethodsFrom January 2014 to December 2017, 22 patients who underwent robotic procedure were classified as Group 1, and 34 patients who underwent the same laparoscopic procedure as Group 2. In addition, from September 2009 to July 2011, 13 patients who underwent laparoscopic procedure were classified as Group 3. The perioperative outcomes and short-term postoperative morbidity levels were evaluated in three groups.ResultsIn all groups, there were more women than men, and the mean age and BMI did not differ significantly. Since 2014, jejunojejunostomy was performed extracorporeally and the mean operation time was shorter in Group 1 (258.5±52.9 min) and Group 2 (236.2±62.9 min) than Group 3 (395.2±85.9 min). [p=0.00 (1 vs 3), 0.00 (2 vs 3)] The median hospital stay was 7 days in Group 1 and 2, and shorter than 9 days in Group 3. [p=0.00 (1 vs 3), 0.011 (2 vs 3)] In Group 1, there were three postoperative complications, which included cholangitis, bile leakage and umbilical herniation, respectively). In Group 2, there were seven of postoperative complications, which included choledochojejunostomy site stricture & intrahepatic duct stone, choledochojejunostomy site stone, jejunal branch bleeding, portal vein thrombus, acute pancreatitis, adhesive ileus, and A-loop syndrome. In Group 3, there were three of postoperative complications, which included 2 hepaticojejunostomy site stricture and 1 paralytic ileus.ConclusionsRobot-assisted resection of a choledochal cyst with Roux-en-y hepaticojejunostomy is a safe and feasible approach with short-term results that are comparable to those of laparoscopic surgery.

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“…A choledochal cyst is a rare benign disease of the biliary tract 1. Almost 80% of cases are diagnosed in the first decade of life, and this disease is four times more common in women.…”

Section: Introductionmentioning

confidence: 99%

Robot resection of a choledochal cyst with Roux-en-y hepaticojejunostomy in adults: Initial experiences with 22 cases and a comparison with laparoscopic approaches

Han

Lee

Hwang

et al. 2018

Ann Hepatobiliary Pancreat Surg

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“…Аll prоcedures were perfоrmed by the sаme surgicаl teаm, speciаlists in bоth pediаtric аnd аdult surgery, аccоrding tо lоcаl prаctice in Hue Centrаl Hоspitаl, Vietnаm [4]. Chоledоchаl cysts were clаssified аccоrding tо the Tоdаni clаssificаtiоn [7] initially based on preoperative ultrasound, computed tomography scan, and/ or magnetic resonance imaging, and finally confirmed by intraoperative gross examination.…”

Section: Methоdsmentioning

confidence: 99%

Is the laparoscopic choledochal cyst excision and Roux-En-Y hepaticojejunostomy in adults as safe as that in children?

Xuan

Son

Thien

2020

Egypt Liver Journal

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Bаckgrоund: Laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy for treating congenital choledochal cysts has been proven to be efficacious in children, but its safety and efficacy in adult patients remain uncertain. This study aims to investigate the safety and effectiveness of laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy in adults compared to those in children patients. Results: There was no conversion to open surgery in both groups. The mean operative time and hospital duration stay in adults (253.4 min and 11.7 days, respectively) were longer in than those in children (214.7 min and 9.3 days, respectively). Intrаоperаtive blооd trаnsfusiоn wаs required in one adult and twо children. There was not reoperation due to bile leakage in adults compared to those in 2 children. The time frоm surgery tо drаinаge remоvаl wаs longer in adults (3.6 vs. 2.9 days). The outcome within three months of discharge was classified as good in 88.2 % of adults and 90.5% for children. There were nо stаtisticаlly significаnt differences in eаrly pоstоperаtive cоmplicаtiоns оr treаtment оutcоmes between the twо grоups. Cоnclusiоns: Lаpаrоscоpic chоledоchаl cyst excisiоn fоllоwed by Rоux-en-Y hepаticоjejunоstоmy wаs sаfe аnd efficient in bоth аdults аnd children. Оperаtive time wаs lоnger in аdults thаn in children.

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“…The incidence is one in 100.000 and 80% presents in childhood (1,2). Although choledochal cysts were first classified by Alonso-Lej, original classification used today was categorised by Todani (3). According to this classification, there are five types of choledochal cysts and the most common one is type 1; followed by types 4, 5, 3 and 2 in decreasing frequency.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic resection of choledochal cysts in adults: a series from Turkey

Gündoğan¹,

Sümer²,

Çolakoğlu³

et al. 2019

Turk J Surg

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Objective: Choledochal cyst is a congenital disease in which surgical treatment is preliminary because of the potential for malignancy. In recent years, increase in technological developments and laparoscopic experience have popularised the use of laparoscopy in adult choledochal cyst surgery. This study aimed to present the results of eight adult patients undergoing laparoscopic choledochal excision surgery. Material and Methods:Patients who underwent laparoscopic choledochal cyst excision and hepatico-jejunostomy anastomoses between the years 2013 and 2018 were evaluated retrospectively. Demographic characteristics, preoperative and postoperative findings, pathological results and final condition of the patients were examined. Results:Of the eight patients, three were males and five were females. Median age was 41.5 years (22-49). One of the patients had Type IVa and the rest had Type I choledochal cysts. Laparoscopic choledochal cyst excision, cholecystectomy, and hepatico-jejunostomy anastomoses were performed on all of the patients. One patient was converted to open surgery. Three patients had postoperative biliary leakage. Duration of the operations was determined as median 330 (240-480) minutes and blood loss was 50 (10-100) mL. Hospitalization of the patients was median 6 (4-23) days and follow-up time was median 20 (2-65) months. In the late period, cholangitis occured in a patient who was treated with medical therapy and there was no mortality in the follow-up period. Conclusion:We suggest that laparoscopic choledochal cyst excision in adults may be an alternative to open surgery due to the satisfactory results in the late period in spite of early problems like self-limiting bile leakage.

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The Todani Classification for Bile Duct Cysts: an Overview

Cited by 24 publications

References 1 publication

Robot resection of a choledochal cyst with Roux-en-y hepaticojejunostomy in adults: Initial experiences with 22 cases and a comparison with laparoscopic approaches

Robot resection of a choledochal cyst with Roux-en-y hepaticojejunostomy in adults: Initial experiences with 22 cases and a comparison with laparoscopic approaches

Is the laparoscopic choledochal cyst excision and Roux-En-Y hepaticojejunostomy in adults as safe as that in children?

Laparoscopic resection of choledochal cysts in adults: a series from Turkey

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