Journal List > J Korean Assoc Pediatr Surg > v.18(1) > 1015908

Kim, Noh, Min, and Choi: A Study on the Factors that Influence the Surgical Outcomes of Choledochal Cyst in Children

Figures and Tables

Table 1
Demographic Characteristics of Patients
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*mean: 34.6 ± 35.4 (range : 1/2~123) months

Table 2
Preoperative Symptoms
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Table 3
Preoperative Laboratory Findings
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*AST: aspartate aminotransferase

ALT: alanine aminotransferase

+normal range: AST; 0~40 IU/L ALT; 0~40 IU/L, Bilirubin;0.2~1.2 mg/dl, WBC; 5000~17500/L (<1 year), 6000~17000/L (1~2 years), 5000~14500/L (2~5 years), 4500~13500/L (6~11 years), 4000~10000/L (>12 years)

Table 4
Postoperative Complications and Hospital Stay
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*Mean hospital stay : 12.2 ± 5.8 (range ; 5~30) days

Table 5
Factors that Influence on Surgical Outcomes
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*APBDJ : anormalous pancreatic duct-biliary duct junction

AST : aspartate aminotransferase

+ALT : alanine aminotransferasel

WBC : white blood cell

Notes

Abstract presented at the 62nd annual congress of the Korean Surgical Society, Seoul Korea, November 2010.

References

1. Yamaguchi M. Congenital choledochal cyst. Analysis of 1433 patients in the Japanese literature. Am J Surg. 1980. 140:653–657.
2. de Vries JS, de Vries S, Aronson DC, Bosman DK, Rauws EA, Bosma A, Heij HA, Gouma DJ, van Gulik TM. Choledochal cysts: age of presentation, symptoms, and late complications related to Todani's classification. J Pediatr Surg. 2002. 37:1568–1573.
3. Soreide K, Korner H, Havnen J, Soreide JA. Bile duct cysts in adults. Br J Surg. 2004. 91:1538–1548.
4. Babbitt DP, Starshak RJ, Clemett AR. Choledochal cyst: a concept of etiology. Am J Roentgenol Radium Ther Nucl Med. 1973. 119:57–62.
5. Ono J, Sakoda K, Akita H. Surgical aspect of cystic dilatation of the bile duct. An anomalous junction of the pancreaticobiliary tract in adults. Ann Surg. 1982. 195:203–208.
6. Shi LB, Peng SY, Meng XK, Peng CH, Liu YB, Chen XP, Ji ZL, Yang DT, Chen HR. Diagnosis and treatment of congenital choledochal cyst: 20 years' experience in China. World J Gastroenterol. 2001. 7:732–734.
7. Lipsett PA, Pitt HA. Surgical treatment of choledochal cysts. J Hepatobiliary Pancreat Surg. 2003. 10:352–359.
8. Craig AG, Chen LD, Saccone GT, Chen J, Padbury RT, Toouli J. Sphincter of Oddi dysfunction associated with choledochal cyst. J Gastroenterol Hepatol. 2001. 16:230–234.
9. Davenport M, Basu R. Under pressure: choledochal malformation manometry. J Pediatr Surg. 2005. 40:331–335.
10. Matsufuji H, Araki Y, Nakamura A, Ohigashi S, Watanabe F. Dynamic study of pancreaticobiliary reflux using secretin-stimulated magnetic resonance cholangiopancreatography in patients with choledochal cysts. J Pediatr Surg. 2006. 41:1652–1656.
11. Han SJ, Hwang EH, Chung KS, Kim MJ, Kim H. Acquired choledochal cyst from anomalous pancreatobiliary duct union. J Pediatr Surg. 1997. 32:1735–1738.
12. Alonso-Lej F, Rever WB, Pessagno DJ. Congenital choledochal cyst, with a report of 2 and an analysis of 94 cases. Int Abstr Surg. 1959. 108:1.
13. Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts. Classification, operative procedures, and review of thirty weven cases including cancer arising from choledochal cyst. Am J Surg. 1977. 134:263.
14. Kahng KW, Lee OC, Goo GS, Hahm JS, Rhee JC, Lee MH, Kee CS, Park KN. A clinical analysis of choledochal cyst. Korean J Gastrointest Endosc. 1992. 12:285–291.
15. Lipsett PA, Pitt HA, Colombani PM, Boitnott JK, Cameron JL. Choledochal cyst disease. A changing pattern of presentation. Ann Surg. 1994. 220:644–652.
16. Tan KC, Howard ER. Choledochal cyst: A 14-year surgical experience with 36 patients. Br J Surg. 1988. 75:892.
17. Hung MH, Lin LH, Chen DF, Huang CS. Choledochal cysts in infants and children: experiences over a 20-year period at a single institution. Eur J Pediatr. 2011. 170:1179–1185.
18. Metcalfe MS, Wemyss-Holden SA, Maddern GJ. Management dilemmas with choledochal cysts. Arch Surg. 2003. 138:333–339.
19. Gertler JP, Cahow CE. Choledochal cyst in the adult. J Clin Gastroenterol. 1988. 10:315–319.
20. Guelrud M, Morera C, Rodriquez M, Prados J, Jaen D. Normal and anomalous pancreaticobiliary union in children and adolescents. Gastrointestinal Endoscopy. 1999. 50:189–193.
21. O'Neill JA Jr, Templeton JM Jr, Schnaufer L, Bishop HC, Ziegler MM, Ross AJ 3rd. Recent experience with choledochal cyst. Ann Surg. 1987. 205:533–540.
22. Shimada K, Yanagisawa J, Nakayama F. Increased lysophospatidylcholine and pancreatic enzyme content in bile of patients with anomalous pancreaticobiliary ductal junction. Hepatology. 1991. 13:438–444.
23. The Japanese Study Group on Pancreaticobiliary Maljunction (JSPBM). The Committee of JSPBM for Diagnostic Criteria: Diagnostic criteria of pancreaticobiliary maljunction. J Hep Bil Panc Surg. 1994. 1:219–221.
24. Edil BH, Cameron JL, Reddy S, Lum Y, Lipsett PA, Nathan H, Pawlik TM, Choti MA, Wolfgang CL, Schulick RD. Choledochal cyst disease in children and adults: a 30-year single-institution experience. J Am Coll Surg. 2008. 206:1000–1006.
25. Suh SJ, Choi SO, Park WH. Clinical analysis of choledochal cyst in childhood. J Korean Surg Soc. 2003. 65:564–571.
26. Nam YH, Jung JH, Song YT. Clinical analysis of choledochal cysts in children. J Korean Surg Soc. 2008. 75:328–335.
27. Howard ER. Schwartz , Ellis , editors. Choledochalcyst. Maingot's Abdominal Operation. 1990. 9th. East Norwalk: Appleton & Lange;1365.
28. Ono J, Sakoda K, Akita H. Surgical aspect ot cystic dilatation of the bile duct. An anomalous junction of the pancreaticobiliary tract in adults. Ann Surg. 1982. 195:203–208.
29. Howell CG, Templeton JM, Weiner S, Glassman H, Betts JM, Witzleben CL. Antenatal diagnosis and early surgery for choledochal cyst. J Pediatr Surg. 1983. 18:387–393.
30. Dhupar R, Gulack B, Geller DA, Marsh JW, Gamblin TC. The changing presentation of choledochal cyst disease: an incidental diagnosis. HPB Surg. 2009. 2009:103739. Epub 2009 Oct 19.
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