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A Modified Technique to Facilitate Anastomosis in Choledochal Cyst

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DOI: 10.4236/ijcm.2010.12013    3,446 Downloads   6,055 Views  


The method of choice for the treatment of choledochal cysts in children is excision of the cyst and Roux-en-Y (RY) choledochoenterostomy. When the ratio of the diameter of the main hepatic ductus to that of the proximal RY jejunum is 1:2.5 or lower during choledochoenterostomy, end-to-end anastomosis is recommended. However, this method may cause a difference in diameters between the ends. Here we will present the technical difficulty we experienced due to the difference in diameters in end-to-end RY choledochoenterostomy and our modified anastomosis technique of anas¬tomosis. This slight modification eliminated problems with anastomosis caused by a difference in the diameter of the jejunum and shortened operation time.

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The authors declare no conflicts of interest.

Cite this paper

S. Özkısacık, M. Yazıcı and H. Gürsoy, "A Modified Technique to Facilitate Anastomosis in Choledochal Cyst," International Journal of Clinical Medicine, Vol. 1 No. 2, 2010, pp. 73-74. doi: 10.4236/ijcm.2010.12013.


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