Treatment and Outcome of Choledochal Cyst, our Experience in Sheikh Russel National Gastroliver Institute and Hospital, Mohakhali Dhaka, Bangladesh

A.K.M, Shamsuddin and Rahman, Mamunur and Sarwar, Jahangir Md and Alam, Mohammad Mahabub and Sultana, Nasrin and Rahman, Atiar (2024) Treatment and Outcome of Choledochal Cyst, our Experience in Sheikh Russel National Gastroliver Institute and Hospital, Mohakhali Dhaka, Bangladesh. Asian Journal of Pediatric Research, 14 (4). pp. 11-19. ISSN 2582-2950

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Abstract

Objectives: The aim of the study was to evaluate the demographic information, clinical features, surgical methods, postoperative complications, and outcomes at 6 months for patients with choledochal cysts who were treated at the Sheikh Russel National Gastroliver Institute and Hospital. The goal was to assess the outcomes of radical cystectomy versus partial hepatectomy in the treatment of choledochal cysts. Methods: This was a retrospective analysis of 36 patients who had choledochal cysts and were treated with either a total cystectomy (n=30) or partial hepatectomy (n=6). Results: The groups that underwent radical cystectomy and partial hepatectomy had similar age ranges, sex distributions, and types of cysts. The majority of the cysts were type I (83.3% of the total cystectomy group) and type V (100% of the partial hepatectomy group). Other associations included: gallstones (26.7% vs. 83.3%) and Abnormal pancreatic biliary duct junction (APBDJ) (36.7% vs. 16.7%). An increased frequency of post-operative pain, jaundice, upper abdominal swelling, and fever was noted in the group that had a radical cystectomy. Minimal post-operative complications were seen in both groups. At 6 months, the rates of complications were similar, with hypertrophic scars being the most common (30.7% for radical cystectomy and 25% for partial hepatectomy). Conclusion: The groups that had radical cystectomy and partial hepatectomy were of similar demographics, cyst types, abnormalities, clinical traits, and complication rates post surgery and at 6 months. Both procedures are still good ways to treat choledochal cysts, and this small group doesn't clearly show which is better. To get a better idea of differences in long-term results, bigger studies are needed.

Item Type: Article
Subjects: Open Research Librarians > Medical Science
Depositing User: Unnamed user with email support@open.researchlibrarians.com
Date Deposited: 01 Apr 2024 11:15
Last Modified: 01 Apr 2024 11:15
URI: http://stm.e4journal.com/id/eprint/2570

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