Percutaneous transhepatic cyst drainage as a "bridge procedure" to definitive treatment of perforated choledochal cysts: a case report.
Perforated choledochal cysts are rare. Traditionally, they have been managed by primary T-tube choledochostomy and interval cystectomy with hepaticojejunostomy. We present here our recent experience with a case of perforated choledochal cyst, which was managed with preoperative percutaneous transhepatic cyst drainage, followed by definite surgery for choledochal cyst, cyst excision, and reconstruction with Roux-en-y hepaticojejunostomy. Preoperative percutaneous cyst drainage seems to be useful and effective in managing complicated choledochal cysts. The procedure garners time for patients' general condition and laboratory findings to improve to the extent that general surgery can be performed.
Kang
Chang Moo
CM
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Lee
Kwang Hoon
KH
Kim
Dong Hyun
DH
Lee
Woo Jung
WJ
D002404:Catheterization / Q000379:methods; D002758:Cholangiography; D015529:Choledochal Cyst / Q000175:diagnosis / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010166:Palliative Care / Q000379:methods*; D011300:Preoperative Care / Q000379:methods*; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D055815:Young Adult