title: Treatment of choledochal cyst in a pediatric population. A single institution experience of 15-years. Case series.
abstract: BACKGROUND
  Choledochal cyst (CC) is a rare congenital anomaly of the bile duct that approximately 75% of the patients are diagnosed in childhood. Without a standardized surgical procedure for the biliary reconstruction, we present our experience over the last 15 years and show the differences between the biliary reconstructions techniques in our population.
  
  
  METHODS
  We did a retrospective hospital archive search for patients admitted to the pediatric surgery department with the diagnosis of a choledochal cyst from January 2000 to June 2015.
  
  
  RESULTS
  We found 15 patients, of which, 1 was excluded because of missing data from the hospital record. Of the remaining 14, eight had hepaticojejunal (HY) anastomosis in Roux-en-Y, with a 25% rate of complications; six had hepatoduodenal (HD) anastomosis with a rate of complications of 16.6%. The average hospital length of stay in the group of HD vs. HY was 14 ± 1.6-days vs. 19 ± 8.2-days respectively.
  
  
  CONCLUSIONS
  There are no standardized surgical reconstruction techniques of the biliary tract after the CC excision, there is literature that supports the biliary reconstruction with an HY and an HD without a distinct advantage over one or the other.
  
  
  CONCLUSIONS
  In our series HD anastomosis represents a safe procedure with fewer complications than HY.
authors.affiliation: Pediatric Division, Pediatric Surgery Department at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.
authors.forename: Hector
authors.initials: H
authors.lastname: Silva-Baez
authors.affiliation: Pediatric Division, Gastroenterology Department at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.
authors.forename: Pedro
authors.initials: P
authors.lastname: Coello-Ramírez
authors.affiliation: Pediatric Division, Gastroenterology Department at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.
authors.forename: Eddy Mizraím
authors.initials: EM
authors.lastname: Ixtabalán-Escalante
authors.affiliation: Surgery Division, General Surgery Department at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Sotelo-Anaya
authors.affiliation: Surgery Division, General Surgery Department at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.
authors.forename: Mariana
authors.initials: M
authors.lastname: Gallo-Morales
authors.affiliation: Surgery Division, General Surgery Department at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Cordero-Estrada
authors.affiliation: Surgery Division, General Surgery Department at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.
authors.forename: Victor Hugo
authors.initials: VH
authors.lastname: Sainz-Escarrega
authors.affiliation: Surgery Division, General Surgery Department at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, Mexico.
authors.forename: César Felipe
authors.initials: CF
authors.lastname: Ploneda-Valencia
keywords: Choledochal cyst; Choledochal cyst treatment; Hepatoduodenal anastomosis; Hepatojejunal anastomosis