Choledochal Cyst: Clinical Presentation and Management, Twelve years‘ experience in a tertiary care centre.

Ab. Hamid Wani; Nasib Chand Digra; Narinder Singh; Satish Parihar

Volume : VIII, Issue : VI, June - 2019

Choledochal Cyst: Clinical Presentation and Management, Twelve years‘ experience in a tertiary care centre.

Ab. Hamid Wani, Nasib Chand Digra, Narinder Singh, Satish Parihar

Abstract :

Background: Choledochal cyst is a rare congenital anomaly and the surgical intervention is mandatory which depends upon the type of the cyst. Aim: To study the clinical presentation, management and post–operative complications after different operative procedures for choledochal cyst. Methods. Forty patients were included in this retrospective study, out of which 26 were females and 14 were males. All patients were fully evaluated by clinical examination and all necessary investigations were done. 36 patients had Type –I CDC and 04 patients had Type –IV CDC. 21 patients underwent hepaticoduodenostomy (HD), 16 patients underwent hepaticojejunostomy (HJ) and 03 patients underwent hepaticoduodenostomy with appendicular interposition (HAD). Results: We have survival rate of 97.5 % and complete recovery of 94 % with a single mortality in our study. Conclusion: CDC is a rare congenital anomaly and its management is very important. Hepaticoduodenostomy is more physiological than hepaticojejunostomy and nowadays laparoscopic management is preferred.