Hepaticojejunostomy After Excision of Choledochal Cyst in Two Children with Previous Biliary Surgeryt

SOMCHAI THEPCHAROENNIRUND, M.D., F.R.C.S.T.*

Affiliation : * Pediatric Surgical Unit, Department of Surgery, Ratchaburi Hospital, Ratchaburi 70000, Thailand. t Presented at the 22nd Annual Scientific Meeting of the Royal College of Surgeons of Thailand, 18-21 July 1997. The Royal Cliff Beach Hotel, Pattaya, Thailand.

AbstractHepaticojejunostomy Roux-en-Y after excision of choledochal cyst is the treatment of choice for children with choleili>Chalcyst, to prevent the risk. of postoperative cholangitis, stone formation and malignancy. The author reports two children with previous biliary surgery for choledochal cyst, one with cystojejunostomy without cholecystectomy and the other with chole- cystectomy alone. Two children were admitted to the Pediatric Surgical Unit, Ratchaburi Hos- pital, with the complaint of chronic abdominal pain. After investigation the two children had cyst excision and hepaticojejunostomy Roux-en-Y. After six and one year follow-up the patients remain asymptomatic. The aim of this report was to show the complication of two previous biliary surgeries for choledochal cyst and support total cyst excision combined with hepatica- jejunostomy Roux-en-Y being the treatment of choice for choledochal cyst.

Keywords : Choledochal Cyst, Hepaticojejunostomy, Children with Previous Biliary Surgery

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