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Fate of Non-Excisional Surgery in Choledochal Cyst in Children
소아 담관낭종에서 비절제수술의 예후

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Authors
Kim, Woo-Ki; Park, Kwi-Won; Lee, Seong-Cheol; Lee, Suk-Koo
Issue Date
1988-09
Publisher
Seoul National University College of Medicine
Citation
Seoul J Med, Vol.29 No.3, pp. 277-281
Keywords
Choledochal cyst
Abstract
Drainage surgery between choledochal cyst and intestine was the standard
mode of treatment until mid-1980 at the Department of Pediatric Surgery, Seoul National
University, Seoul, Korea. A total of eight cases were treated with by-pass surgery between
1978-80 period. From mid-1980, excision of the cyst has been used as a standard mode of
surgical treatment for the choledochal cyst. Twenty one excision were carried out in
1980-1986 period. Four of those patients who received excision of cyst had received bypass
surgery as a primary treatment in the past. Repeated attack of cholangitis or jaundice were
the main reasons for reoperation, i.e. the excision of cyst. From 30 choledochal cyts, 11
patient received non-exicisional surgery as a primary mode of treatment. Six required reoperations
including five excisions. From eight initial drainage procedures, three patients required
reoperation due to morbidity from internal drainage procedure of choledochal cyst.
However, there are four patient [50%1who are free from the morbidity such as cholangitis,
jaundice, recurrent pain or stricture formation. The fate of cysto-jejunostomy should be
closely followed for a life time to clarify the possibility of development of cancer.
ISSN
0582-6802
Language
English
URI
http://hdl.handle.net/10371/6394
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 29 No.3 (1988)
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