Can Mucosectomy be Always Performed in Complicated Cases of Choledochal Cysts英文文献资料.docVIP

Surgical Science, 2011, 2, 5-7 doi:10.4236/ss.2011.21002 Published Online January 2011 (http://www.SciRP.org/journal/ss) Can Mucosectomy be Always Performed in Complicated Cases of Choledochal Cysts Sezen ?zkisacik , Mesut Yazici , Canten Tataroglu , Yelda Ozsunar , Harun Gürsoy 1 1 2 3 1 1 Adnan Menderes University, Medical Faculty, Department of Pediatric Surgery, Aydin, Turkey Adnan Menderes University, Medical Faculty, Department of Pathology, Aydin, Turkey Adnan Menderes University, Medical Faculty, Department of Radiodiagnostic, Aydin, Turkey E-mail: sozkisacik@.tr 2 3 Received September 9, 2010; September 18, 2010; September 25, 2010 Abstract Introduction: If the surgical dissection is too risky in choledochal cyst, mucosectomy is defined as a benefi- cial technical method in the literature. To discuss in this manner, we present this case. Case: 9 years old girl was referred to our clinic due to multipl stones in the gallbladder. History and physicial examination could not be performed effectively because of her cerebral palsy. Ultrasonography showed choledochal cyst con- taining multipl stones. MR cholangiography showed multipl stones in the dilated choledochus. During the dissection, the cyst appeared extremely adherent to the adjacent structures and cyst wall was so thin and transparent. The mucosectomy was not thought to be a good option to carry out for this case. For this reason, cyst was totally excised. Discussion: The preferred method for choledochal cyst is total cyst excision and Roux-en Y hepaticoenterostomy. When the dissection is unsafe to perform, posterior wall mucosectomy may be performed. However, like in our case, when the diagnosis is delayed, the cyst wall may become too thin and may be attached very strongly to the adjacent structures. So, mucosectomy is i