Evolution in the treatment of choledochus cyst.
OBJECTIVE
The aim of this study was to reevaluate the results of the short jejunal interposition (Chicago-Beijing procedure) in the treatment of choledochus cyst and search for the way of further improvement.


METHODS
A retrograde study of some 500 surgical cases was made. The immediate postoperative and 10-year follow-up results of the 3 main procedures used in 3 different time periods were compared. Twenty-five redo cases of the above-mentioned series and another 6 referred from other hospitals were analyzed specially for the main cause of complications.


RESULTS
Ten-year uneventful follow-up occurred in more than 90% of cases after the Chicago-Beijing procedure, which was evidently superior to other 2 kinds of methods. Having solved the problems of the abnormal pancreatico-biliary communication and entero-biliary reflux, it remains the challenge of the anastomosis stricture. Malignancy degeneration disappeared dramatically after total excision of the cyst.


CONCLUSIONS
Chicago-Beijing procedure proved to be the most reliable operation for choledochus cyst in comparison with the other 2 conventional methods in BCH. The prevention of anastomosis stricture should be emphasized for the further improvement of the surgical result.
Fu
M
M
Beijing Children's Hospital, China.
Wang
Y
Y
Zhang
J
J
D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D002681:China; D015529:Choledochal Cyst / Q000601:surgery*; D004385:Duodenostomy / Q000379:methods*; D005260:Female; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007583:Jejunum / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome