Surgical aspects of choledochal cyst in children and adults: an experience of 106 cases
Topic overview
This retrospective study of 106 choledochal cyst cases compares clinical presentation and outcomes between pediatric and adult patients. Adults experienced significantly higher rates of postoperative complications including strictures, stones, and cholangitis, requiring more interventions than children, supporting early definitive surgical management.
Key takeaways
- Abdominal pain is the predominant symptom in both children and adults with choledochal cyst, occurring in 87% of adults vs 53% of children.
- Adults experience significantly more postoperative complications (26.4% vs 5.7%) including stones, strictures, and cholangitis compared to children.
- Ultrasound remains the preferred initial screening modality for choledochal cyst diagnosis, used in 75.5% of cases in this series.
- Cyst excision with roux-en-y hepatico-jejunostomy is the standard surgical approach, performed in 88.7% of cases with type I cysts most common.
- Early definitive surgery is recommended to prevent long-standing inflammation that contributes to higher complication rates seen in adult patients.
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How to cite: GlobalCastMD. Surgical aspects of choledochal cyst in children and adults: an experience of 106 cases. GlobalCastMD Medical Library. 2024-07-11. https://dev.library.globalcastmd.com/article/8838?via_space=staycurrentmd
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