2020
DOI: 10.1016/j.ijscr.2020.06.104
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Treatment of complex complications after choledochal cyst resection by multiple minimal invasive therapies: A case report

Abstract: Highlights Complications after choledochal cyst resection are common, mainly anastomotic stricture, bowel obstruction, biliary fistula and pancreatic cyst remnant. Reoperation is the optimal method for patients with pancreatic cyst remnant and hepaticojeju-nal anastomotic stricture. ERCP, balloon dilation should be considered as a supporting tools to reduce the risk and mor-bidity of surgery.

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Cited by 5 publications
(2 citation statements)
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“…Especially when recurrent cholangitis or hepatolithiasis occurs after CM surgery, a biliary-enteric anastomotic stricture should be ruled out with magnetic resonance cholangiopancreatography (MRCP). A verified anastomotic stricture is primarily managed with endoscopic or transhepatic balloon dilation with a high success rate, while reoperation on is considered as a secondary option 131 . Tsuchida et al 132 described variant types of intrahepatic bile duct (IHD) anatomy associated with postoperative intrahepatic cholelithiasis.…”
Section: Hepatobiliarymentioning
confidence: 99%
“…Especially when recurrent cholangitis or hepatolithiasis occurs after CM surgery, a biliary-enteric anastomotic stricture should be ruled out with magnetic resonance cholangiopancreatography (MRCP). A verified anastomotic stricture is primarily managed with endoscopic or transhepatic balloon dilation with a high success rate, while reoperation on is considered as a secondary option 131 . Tsuchida et al 132 described variant types of intrahepatic bile duct (IHD) anatomy associated with postoperative intrahepatic cholelithiasis.…”
Section: Hepatobiliarymentioning
confidence: 99%
“…The advancement of surgical treatment to include cyst excision has resulted in minimal morbidity and mortality and reduced the number of late complications, compared with past operative treatment of cystenterostomy. The most common short-term outcome in hepaticoenterostomy is anastomotic leakage and as a late complication continues to be anastomotic stricture (2.5-17%) and cholangitis (23-40%) [68][69][70][71].…”
Section: Outcome and Complicationsmentioning
confidence: 99%