Buscar en
Cirugía Española (English Edition)
Toda la web
Inicio Cirugía Española (English Edition) Choledochal cysts surgical management: Retrospective and historical comparative ...
Journal Information
Vol. 100. Issue 1.
Pages 39-45 (January 2022)
Share
Share
Download PDF
More article options
ePub
Visits
0
Vol. 100. Issue 1.
Pages 39-45 (January 2022)
Original article
Choledochal cysts surgical management: Retrospective and historical comparative analysis
Manejo quirúrgico de los quistes de colédoco: análisis retrospectivo y comparativa histórica
Visits
...
Paula Pastora,
Corresponding author
paula-pastor@hotmail.com

Corresponding author.
, Juan Ocañaa, Alberto Gonzáleza, Jordi Nuñeza, Alba Garcíaa, Juan Carlos Garcíab, José María Fernández-Cebriána, Javier Nuñoa
a Sección de Hepatología, Departamento de Cirugía General y Digestiva, Hospital Universitario Ramón y Cajal, Madrid, Spain
b Sección de Coloproctología, Departamento de Cirugía General y Digestiva, Hospital Universitario Ramón y Cajal, Madrid, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Tables (3)
Table 1. Sociodemographic and preoperative characteristics.
Table 2. Surgical intervention, complications and management.
Table 3. Comparison of the longest series of choledochal cyst in the last 20 years and our series.
Show moreShow less
Abstract
Introduction

Choledochal cysts are rare bile duct dilatations, which have higher prevalence in Asian population.

The aim of the study was to analyze clinical and surgical results about biliary cysts management. In addition, a comparative historical analysis was performed.

Methods

Patients who underwent surgery between January 1988 and December 2019 in a single tertiary level center were retrospectively included. Demographic and clinical patient data; cyst types; diagnostic methods and surgical technique were analyzed, as well as short and long-term follow-up complications. A comparative descriptive study focus on the main historical series was also carried out.

Results

A total of seventeen patients were identified; 58.8% were men. The mean age at diagnosis was 39.9 years (SD: 20.54). The median follow-up was 5 years (IQR 1-15). The most frequent cysts were type I (41.2%). Abdominal pain was the most common presenting symptom (58.8%).

Cystic excision with bilio-enteric anastomosis was the main procedure, it was underwent in 85, 7% type I cysts. 29.4% postoperative complications were recorded. Malignancy was not documented in any pathology specimen.

Conclusions

Choledochal cysts are an uncommon disorder whose diagnosis requires a high level of suspicion. Surgical treatment depends on type of cyst. In most patients with choledochal cysts disease, complete cyst excision with bilio-enteric anastomotic reconstruction is the treatment of choice.

Keywords:
Choledochal cyst
Biliodigestive bypass
Cholangiocarcinoma
Anomalous pancreaticobiliary junction
Resumen
Introducción

Los quistes de colédoco son una rara entidad en la que se forman dilataciones quísticas del árbol biliar, con mayor prevalencia en poblaciones asiáticas.

El objetivo principal del estudio fue el análisis de los resultados clínicos y quirúrgicos en el manejo de los quistes biliares. De forma secundaria, se realizó un análisis comparativo de las principales series históricas publicadas.

Métodos

Estudio observacional retrospectivo en un único centro de tercer nivel. Se incluyeron pacientes intervenidos quirúrgicamente entre enero de 1988 y diciembre de 2019. Los datos demográficos, clínicos y analíticos de los pacientes, tipos de quiste, métodos diagnósticos, técnica quirúrgica empleada, así como los resultados del seguimiento y complicaciones a corto y largo plazo fueron analizados. Se realizó un estudio descriptivo comparativo con las principales series históricas.

Resultados

Se identificaron 17 pacientes con edad media de 39,9 años (DE: 20,54); el 58,8% eran varones. La mediana de seguimiento fue de 5 años ( 1-15). Los quistes tipo I fueron los más frecuentes (41,2%); la manifestación clínica más frecuente fue el dolor abdominal (58,8%).

La escisión quística con derivación biliodigestiva fue el principal procedimiento realizado en quistes tipo I (85,7%). Un 29,4% presentó complicaciones posquirúrgicas. No hubo hallazgos de malignidad en el estudio anatomopatológico.

Conclusiones

Los quistes de colédocos constituyen una patología de baja incidencia que requiere un alto nivel de sospecha para su diagnóstico. El tratamiento quirúrgico se ajusta al tipo de quiste, siendo la escisión del quiste y la derivación biliodigestiva el tratamiento quirúrgico más comúnmente empleado.

Palabras clave:
Quiste de colédoco
Derivación biliodigestiva
Colangiocarcinoma
Anomalía unión pancreatobiliar

Article

These are the options to access the full texts of the publication Cirugía Española (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Cirugía Española (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos