Ohba G, et al. – This study was performed to examine the complications and short–term outcomes of single–stage excision of perforated and non–perforated choledochal cysts (CCs). In stable patients, single–stage excision for a perforated CC proved feasible.

Methods

• From 2003 to 2016, retrospective review of medical records of patients treated for CCs was performed.
• Comparison was performed of outcomes between patients with perforated CCs (Group A) and non-perforated CCs (Group B).
• Authors analyzed the operative time, intraoperative bleeding, length of stay, and postoperative complications.

Results

• In this study, Group A included 6 patients (2 males, 4 females; mean age, 29 months), and Group B included 26 patients (2 males, 24 females; mean age, 41 months).
• Single-stage complete excision with Roux-en-Y hepaticojejunostomy was performed on all the patients.
• Observations revealed no significant differences in the operative time, bleeding, and/or length of stay.
• Operative deaths or complications such as anastomosis leakage or postoperative cholangitis were not evident, but a pancreatic fistula developed in one patient in Group A and two in Group B.