title: Management of choledochal cysts in adults: a retrospective analysis of 23 patients.
abstract: OBJECTIVE
  Choledochal cysts are rare congenital anomalies of the pancreaticobiliary system, whose etiology remains unknown. We aimed to review patients with choledochal cysts and to compare our results with current literature.
  
  
  METHODS
  Twenty-three patients diagnosed as having choledochal cysts between January 2004 and July 2010 were evaluated retrospectively.
  
  
  RESULTS
  Thirteen patients had type I (56.5%), 3 patients type II (13%), 3 patients type III (13%), 1 patient type IV-A (8.3%) and the remaining 3 patients had type V (13%) choledochal cysts. All patients with type I cysts underwent cyst excision with Roux-en-Y hepaticojejunostomy. Two patients with type II cysts underwent cyst excision with choledochoduodenostomy, whereas cyst excision with T-tube drainage was applied to the other. Endoscopic unroofing was performed type III cysts. The patient with type IV-A cyst was not eligible for surgery due to low cardiopulmonary performance status but ERCP was applied successfully more than 3 times for the extraction of the stones which fell from the intrahepatic ducts into the common bile duct. Patients with Type V cysts underwent left hepatectomy, choledocoduodenostomy and cadaveric liver transplantation, respectively. Wound infection developed in 5 patients and anastomotic leakage occurred in 3; one died from sepsis.
  
  
  CONCLUSIONS
  Choledochal cysts are rare congenital malformations. Although treatment varies depending on the type of the cysts, complete excision of the cysts should be performed if possible.
authors: Department of Gastroenterological Surgery, Turkiye Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey.
authors: Murat
authors: M
authors: Ulas
authors: Erdal
authors: E
authors: Polat
authors: Kerem
authors: K
authors: Karaman
authors: Tahsin
authors: T
authors: Dalgic
authors: Metin
authors: M
authors: Ercan
authors: Ilter
authors: I
authors: Ozer
authors: Zafer
authors: Z
authors: Teke
authors: Yusuf Bayram
authors: YB
authors: Ozogul
authors: Erdal Birol
authors: EB
authors: Bostanci
authors: Erkan
authors: E
authors: Parlak
authors: Musa
authors: M
authors: Akoglu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y; D001650:Bile Duct Neoplasms / Q000209:etiology; D001653:Bile Ducts, Intrahepatic; D018281:Cholangiocarcinoma / Q000209:etiology; D002763:Cholecystectomy; D015529:Choledochal Cyst / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies