Research Article
Surgical Management and Prognosis of Congenital Choledochal Cysts in Adults: A Single Asian Center Cohort of 69 Cases
Table 4
Choledochal cyst types and the first surgical procedures undertaken.
| | Cyst type | I | II | III | IV | V | Overall |
| | Laparoscopy, N (%) | 6 (12.8) | — | — | 1 (5.3) | 1 (100) | 8 (11.6) | | Laparotomy, N (%) | 38 (80.9) | 1 (100) | 1 (100) | 18 (94.7) | — | 58 (84.1) | | LS conversed to LT, N (%) | 3 (6.4) | — | — | 0 (0) | — | 3 (4.3) | | Length of Y (cm) | 48 ± 1 | 55 | — | 51 ± 1 | — | 49 ± 1 | | Diameter of the CIA (cm) | 1.2 ± 0.1 | 2.5 | — | 1.5 ± 0.2 | — | 1.3 ± 0.1 | | CC and RYHJ | 47 (100) | 1 (100) | — | 16 (88.9) | — | 65(94.2) | | CC, RYHJ, and PH | — | — | — | 2 (11.1) | — | 2 (2.9) | | CC and DPR | — | — | 1 (100) | — | — | 1 (1.5) | | FDHC | — | — | — | — | 1 (100) | 1 (1.5) | | RRC | 1 (2.4) | — | — | 2 (11.1) | — | 3 (4.6) | | Complete resection | 43 (91.5) | 1 (100) | 1 (100) | 6 (31.6) | 1 (100) | 52 (75.4) | | Incomplete resection | 4 (8.5) | — | — | 13 (68.4) | — | 17 (24.6) |
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LS: laparoscopy, LT: laparotomy, CC: cholecystectomy and choledochal cysts excision, RYHJ: Roux-en-Y hepaticojejunostomy, PH: partial hepatectomy, DPR: duodenal papillary reconstruction, FDHC: fenestration drainage in hepatic cysts, and RRC: radical resection of cholangiocarcinoma.
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