RESULTS
OF SURGICAL TREATMENTS IN CHILDREN AND YOUNG ADULTS WITH DILATED
CHOLEDOCHAL CYST (DCC)
Arynov NM, Shirtaev BK, Kojabergenov
AB, Ibrahim M
Syzganov Scientific Center of Surgery,
Almaty, Republic if Kazakhstan
The aim of our work is to provide results of surgical
treatments in children and young adults with DCC. For past 6 years in our
clinic we have seen 14 patients with cystic transformation of the common
bile duct. Out of these patients, 5 were operated elsewhere:
cholecystoduodenostomy side to side was done to 3 patients;
cystojejunostomy-1, hepaticojejunostomy on isolated small intestines Roux
procedure-1. In 11 cases operation done was- incising the cystic changes of
the common bile duct with creation of hepaticojujenostomy end to side on isolated
small intestines Roux procedure. To two of the patients
hepaticojujenoduodenostomy on isolated isoperistaltic segment of the small
intestine with anti reflux invagination as adopted in our clinic. All the
patients were discharged in satisfactory clinical conditions and were
followed up. The post- surgical observation was from 10 months to 5 years.
To these, 9 patients had good results, while 3 with satisfactory results.
Unsatisfactory results were seen in 2 patients with development of chronic
reflux cholengitis. Later on to these patients anti reflux correction was
performed.
Therefore, experience
showed that to these groups of patients, the initial surgical correction
must be considered with anti reflux prophylaxis.