Authors: Ching Shui Huang Chi Chen Huang Der Fang Chen
Publish Date: 2010/04/27
Volume: 14, Issue: 7, Pages: 1105-1110
Abstract
Choledochal cysts in children and adults are believed to be different but direct comparison between them is lacking in the literature This study was aimed to identify the clinicopathological differences between 42 children and 59 adults with choledochal cyst treated by same surgeons at the Cathay General Hospital The mean followup period was 89 years The result showed that the femaletomale ratios were 151 in pediatric patients and 491 in adult patients Compared with adults with choledochal cyst the pediatric patients presented more abdominal mass 524 vs 212 P = 0002 and less abdominal pain 762 vs 980 P = 0002 are more frequently associated with anomalous pancreaticobiliary ductal union 857 vs 596 P = 0005 and sudden severe stenosis of terminal choledochus 762 vs 423 P = 0001 are less commonly associated with choledocholithiasis are not associated with malignant transformation 0 vs 212 and have fewer perioperative and longterm complications Nevertheless patients who received total excision had fewer surgical complications in both groups This result shows that choledochal cysts in pediatric and adult patients are different in clinicopathological manifestations prognosis and the underlying abnormalities of the pancreaticobiliary system suggesting that patients with choledochal cyst should be managed according to these differences
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