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Razumovsky A.Yu.

Pirogov Russian National Research Medical University;
N.F. Filatov Children’s City Clinical Hospital

Shubin N.V.

Pirogov Russian National Research Medical University;
Filatov Children’s City Clinical Hospital

Surgical treatment of common bile duct malformations in children

Authors:

Razumovsky A.Yu., Shubin N.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(4): 92‑97

DOI: 10.17116/hirurgia202104192

Views: 1203

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To cite this article:

Razumovsky AYu, Shubin NV. Surgical treatment of common bile duct malformations in children. Pirogov Russian Journal of Surgery. 2021;(4):92‑97. (In Russ.)
https://doi.org/10.17116/hirurgia202104192

Подписка 2025 (Pirogov Russian Journal of Surgery)
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The review is devoted to the current classifications of common bile duct malformations, authors’ opinion regarding surgical approach and reconstruction of the bile ducts. The authors describe the modern modifications of bile duct reconstructions and estimate their effectiveness. PubMed database, Google Scholar and National Scientific Electronic Library eLIBRARY.ru databases were used. We analyzed the complications in children depending on various reconstructions, anatomical form, timing of reconstructive surgery and early diagnosis of this pathology.

Keywords:

common bile duct cyst
common bile duct malformation

Authors:

Razumovsky A.Yu.

Pirogov Russian National Research Medical University;
N.F. Filatov Children’s City Clinical Hospital

Shubin N.V.

Pirogov Russian National Research Medical University;
Filatov Children’s City Clinical Hospital

Received:

28.04.2020

Accepted:

15.07.2020

List of references:

  1. Lukoyanova GM, Obryadov VP, Potekhin PP, Shelyakhin VE, Tsirdava GYu, Rozhdenkin EA. Operative treatment of a choledoch cyst and correction of attendant pathology in children. Sovremennye tekhnologii v meditsine. 2010;1-1:74-77. eLIBRARY ID: 13219703. (In Russ.).
  2. Yakubov EA, Ergashev NSh. Reconstructive operations of extrahepatic bile ducts in some forms of choledochal cysts in children. Zhurnal teoreticheskoj i klinicheskoj meditsiny. 2016;6:89-93. eLIBRARY ID: 29040673. (In Russ.).
  3. Zapolyansky AV, Kandratieva OV, Kletsky SK, Korostelev OYu. Forme Fruste — type of choledochal cyst in children. Khirurgiya. Vostochnaya Evropa. 2017;6(3):307-313. eLIBRARY ID: 30042458. (In Russ.).
  4. Friedmacher F, Ford KE, Davenport M. Choledochal malformations: global research, scientific advances and key controversies. PediatrSurg Int. 2018 Nov 7.  https://doi.org/10.1007/s00383-018-04427-4
  5. Iwai N, Yanagihara J, Tokiwa K, Shimotake T, Nakamura K. Congenital choledochal dilatation with emphasis on pathophysiology of the biliary tract. Ann Surg. 1992;215:27-30.  https://doi.org/10.1097/00000658-199201000-00003
  6. Singham J, Yoshida EM, Scudamore CH. Choledochal cysts: part 1 of 3: classification and pathogenesis. Can J Surg. 2009;52:434-440. PMCID: PMC2769090.
  7. Jan YY, Chen HM, Chen MF. Malignancy in choledochal cysts. Hepatogastroenterology. 2000;47:337-340. PMID: 10791183.
  8. Tan SS, Tan NC, Ibrahim S, Tay KH. Management of adult choledochal cyst. Singapore Med J. 2007;48:524-527. PMID: 17538750.
  9. Clifton MS, Goldstein RB, Slavotinek A, Norton ME, Lee H, Farrell J, Nobuhara KK. Prenatal diagnosis of familial type I choledochal cyst. Pediatrics. 2006;117:596-600.  https://doi.org/10.1542/peds.2005-1411
  10. Atkinson JJ, Davenport M. Controversies in choledochal malformation. S Afr Med J. 2014;104:816-819.  https://doi.org/10.7196/samj.8633
  11. Stringer MD, Dhawan A, Davenport M, Mieli-Vergani G, Mowat AP, Howard ER. Choledochal cysts: lessons from a 20 year experience. Arch Dis Child. 1995;73:528-531.  https://doi.org/10.1136/adc.73.6.528
  12. De Vries JS, de Vries S, Aronson DC, Bosman DK, Rauws EA, Bosma A, et al. Choledochal cysts: age of presentation, symptoms and late complications related to Todani’s classification. J Pediatr Surg. 2002;37: 1568-1573. https://doi.org/10.1053/jpsu.2002.36186
  13. Liem NT, Pham HD, Dung le A, Son TN, Vu HM. Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech. 2012;A22:599-603.  https://doi.org/10.1089/lap.2012.0018
  14. Komi N, Takehara H, Kunitomo K, Miyoshi Y, Yagi T. Does the type of anomalous arrangement of pancreaticobiliary ducts influence the surgery and prognosis of choledochal cyst? J Pediatr Surg. 1992;27:728-731.  https://doi.org/10.1016/s0022-3468(05)80102-2
  15. Jabłońska B. Biliary cysts: etiology, diagnosis and management. World J Gastroenterol. 2012;18(35):4801-4810. https://doi.org/10.3748/wjg.v18.i35.4801
  16. Alonso-Lej F, Rever WB, Pessagno DJ. Congenital choledochal cyst, with a report of two and analysis of 94 cases. Int Abstr Surg. 1959;108: 1-30. PMID: 13625059.
  17. Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 1977;134:263-269.  https://doi.org/10.1016/0002-9610(77)90359-2
  18. Makin E, Davenport M. Understanding choledochal malformation. Arch Dis Child. 2012;97:69-72.  https://doi.org/10.1136/adc.2010.195974
  19. Soares KC, Arnaoutakis DJ, Kamel I, Rastegar N. Choledochal cysts: presentation, clinical differentiation, and management. J Am Coll Surg. 2014;219(6):1167-1180. https://doi.org/10.1016/j.jamcollsurg.2014.04.023
  20. Hill R, Parsons C, Farrant P, et al. Intrahepatic duct dilatation in type 4 choledochal malformation: pressure-related, postoperative resolution. J Pediatr Surg. 2011;46:299-303.  https://doi.org/10.1016/j.jpedsurg.2010.11.008
  21. Turowski C, Knisely AS, Davenport M. Role of pressure and pancreatic reflux in the aetiology of choledochal malformation. Br J Surg. 2011;98:1319-1326. https://doi.org/10.1002/bjs.7588
  22. Davenport M, Basu R. Under pressure: choledochal malformation manometry. J Pediatr Surg. 2005;40:331-335.  https://doi.org/10.1016/j.jpedsurg.2004.10.015
  23. Ziegler KM, Pitt HA, Zyromski NJ, Chauhan A, Sherman S, Moffatt D, et al. Choledochoceles: are they choledochal cysts? Ann Surg. 2010;252:683-690.  https://doi.org/10.1097/SLA.0b013e3181f6931f
  24. Schwab ME, Song H, Mattis A, et al. De novo somatic mutations and KRAS amplification are associated with cholangiocarcinoma in a patient with a history of choledochal cyst [published online ahead of print, 2020 Mar 24]. J Pediatr Surg. 2020;S0022-3468(20)30204-9.  https://doi.org/10.1016/j.jpedsurg.2020.03.008
  25. Komi N, Tamura T, Miyoshi Y, Kunitomo K, Udaka H, Takehara H. Nationwide survey of cases of choledochal cyst. Analysis of coexistent anomalies, complications and surgical treatment in 645 cases. Surg Gastroenterol. 1984;3:69-73. PMID: 6085899.
  26. Kamisawa T, Ando H, Shimada M, Hamada Y, Itoi T, Takayashiki T. Recent advances and problems in the management of pancreaticobiliarymaljunction: feedback from the guidelines committee. J Hepatobiliary Pancreat Sci. 2014;21:87-92.  https://doi.org/10.1002/jhbp.8
  27. Morine Y, Shimada M, Takamatsu H, Araida T, Endo I, Kubota M. Clinical features of pancreaticobiliarymaljunction: update hepaticoduodenostomy for biliary reconstruction during the surgical treatment of choledochal cyst: which is better? J Hepatobiliary Pancreat Sci. 2013;20(5):472-480.  https://doi.org/10.1007/s00534-013-0606-2
  28. Saikusa N, Naito S, Iinuma Y, Ohtani T, Yokoyama N, Nitta K. Invasive cholangiocarcinoma identified in congenital biliary dilatation in a 3-year-old boy. J Pediatr Surg. 2009;44:2202-2205. https://doi.org/10.1016/j.jpedsurg.2009.06.037
  29. Tanaka S, Kubota M, Yagi M, Okuyama N, Ohtaki M, Yamazaki S, et al. An 11-year-old male patient demonstrating cholangiocarcinoma associated with congenital biliary dilatation. J Pediatr Surg. 2006;41:15-19.  https://doi.org/10.1016/j.jpedsurg.2005.10.066
  30. Ng DW, Chiow AK, Poh WT, Tan SS. Metachronous cholangiocarcinoma 13 years post resection of choledochal cyst-is long-term follow-up useful?: a case study and review of the literature. Surg Case Rep. 2016;2:60.  https://doi.org/10.1186/s40792-016-0187-9
  31. Farello GA, Cerofolini A, Rebonato M, Bergamaschi G, Ferrari C, Chiappetta A. Congenital choledochal cyst: video-guided laparoscopic treatment. Surg Laparosc Endosc. 1995;5:354-358. PMID: 8845978.
  32. Stringer MD. Laparoscopic management of choledochal cysts: is a keyhole view missing the big picture? Pediatr Surg Int. 2017;33:651-655.  https://doi.org/10.1007/s00383-017-4089-0
  33. Stringer MD. Wide hilar hepaticojejunostomy: the optimum method of reconstruction after choledochal cyst excision. Pediatr Surg Int. 2007;23:529-532.  https://doi.org/10.1007/s00383-007-1929-3
  34. Santore MT, Behar BJ, Blinman TA, Doolin EJ, Hedrick HL, Mattei P, et al. Hepaticoduodenostomy vs hepaticojejunostomy for reconstruction after resection of choledochal cyst. J Pediatr Surg. 2011;46:209-213.  https://doi.org/10.1016/j.jpedsurg.2010.09.092
  35. Mukhopadhyay B, Shukla RM, Mukhopadhyay M, Mandal KC, Mukherjee PP, Roy D, et al. Choledochal cyst: a review of 79 cases and the role of hepaticodochoduodenostomy. J Indian Assoc Pediatr Surg. 2011;16:54-57.  https://doi.org/10.4103/0971-9261.78131
  36. Todani T, Watanabe Y, Mizuguchi T, Fujii T, Toki A. Hepaticoduodenostomy at the hepatic hilum after excision of choledochal cyst. Am J Surg. 1981;142:584-587.  https://doi.org/10.1016/0002-9610(81)90431-1
  37. Narayanan SK, Chen Y, Narasimhan KL, Cohen RC. Hepaticoduodenostomy versus hepaticojejunostomy after resection of choledochal cyst: a systematic review and meta-analysis. J Pediatr Surg. 2013;48:2336-2342. https://doi.org/10.1016/j.jpedsurg.2013.07.020
  38. Alizai NK, Dawrant MJ, Najmaldin AS. Robot-assisted resection of choledochal cysts and hepaticojejunostomy in children. Pediatr Surg Int. 2014;30:291-294.  https://doi.org/10.1007/s00383-013-3459-5
  39. Woo R, Le D, Albanese CT, Kim SS. Robot-assisted laparoscopic resection of a type I choledochal cyst in a child. J Laparoendosc Adv Surg Tech A. 2006;16:179-183.  https://doi.org/10.1089/lap.2006.16.179
  40. Kang CM, Chi HS, Kim JY, Choi GH, Kim KS, Choi JS, et al. A case of robot-assisted excision of choledochal cyst, hepaticojejunostomy, and extracorporeal Roux-en-y anastomosis using the da Vinci surgical system. Surg Laparosc Endosc Percutan Tech. 2007;17(6):538-541.  https://doi.org/10.1097/SLE.0b013e318150e57a
  41. Fujisaki S, Akiyama T, Miyake H, et al. A case of carcinoma associated with the remained intrapancreatic biliary tract 17 years after the primary excision of a choledochal cyst. Hepatogastroenterol. 1999;46:1655-1659. PMID: 10430315.
  42. Koshinaga T, Wakabayashi K, Inoue M, Sugito K, Ikeda T, Hagiwara N, Tomita R. Pancreatitis after a primary and secondary excision of congenital choledochal cysts. Surg Today. 2006;36:686-691.  https://doi.org/10.1007/s00595-006-3237-2
  43. Stringer MD. Choledochal cyst. In: Spitz L, Coran AG, eds. Operative pediatric surgery. 6th edn. Hodder Arnold, London; 2006:673-682. 
  44. Todani T. Choledochal cysts. In: Stringer MD, Oldham KT, Mouriquand PDE, Howard ER, eds. Pediatric surgery and urology: long-term outcomes. WB Saunders Co., Philadelphia; 1998:417-429. 
  45. Urushihara N, Fukumoto K, Fukuzawa H, Mitsunaga M, Watanabe K, Aoba T, Yamoto M, Miyake H. Long-term outcomes after excision of choledochal cysts in a single institution: operative procedures and late complications. J Pediatr Surg. 2012;47:2169-2174. https://doi.org/10.1016/j.jpedsurg.2012.09.001
  46. Wang J, Zhang W, Sun D, Zhang Q, Liu H, Xi D, Li A. Laparoscopic treatment for choledochal cysts with stenosis of the common hepatic duct. J Am Coll Surg. 2012;214:47-52.  https://doi.org/10.1016/j.jamcollsurg.2012.03.001
  47. Lal R, Behari A, Hari RH, Sikora SS, Yachha SK, Kapoor VK. Variations in biliary ductal and hepatic vascular anatomy and their relevance to the surgical management of choledochal cysts. Pediatr Surg Int. 2013;29:777-786.  https://doi.org/10.1007/s00383-013-3333-5
  48. Diao M, Li L, Cheng W. Laparoscopic redo hepaticojejunostomy for children with choledochal cysts. Surg Endosc. 2016;30:5513-5519. https://doi.org/10.1007/s00464-016-4915-9
  49. Nguyen Thanh L, Hien PD, Dung le A, Son TN. Laparoscopic repair for choledochal cyst: lessons learnt from 190 cases. J Pediatr Surg. 2010;45:540-544.  https://doi.org/10.1016/j.jpedsurg.2009.08.013
  50. Diao M, Li L, Cheng W. Laparoscopic versus open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results. Surg Endosc. 2011;25:1567-1573. https://doi.org/10.1007/s00464-010-1435-x
  51. Yeung F, Chung PH, Wong KK, Tam PK. Biliary-enteric reconstruction with hepaticoduodenostomy following laparoscopic excision of choledochal cyst is associated with better postoperative outcomes: a single-centre experience. Pediatr Surg Int. 2015;31:149-153.  https://doi.org/10.1007/s00383-014-3648-x
  52. Lee KH, Tam YH, Yeung CK, Chan KW, Sihoe JD, Cheung ST, Mou JW. Laparoscopic excision of choledochal cysts in children: an intermediate-term report. Pediatr Surg Int. 2009;25:355-360.  https://doi.org/10.1007/s00383-009-2343-9
  53. Martinez-Ferro M, Esteves E, Laje P. Laparoscopic treatment of biliary atresia and choledochal cyst. Semin Pediatr Surg. 2005;14(4): 206-215.  https://doi.org/10.1053/j.sempedsurg.2005.06.003
  54. Niramis R, Narumitsuthon R, Watanatittan S, et al. Clinical differences between choledochal cysts in infancy and childhood: an analysis of 160 patients. J Med Assoc Thai. 2014;97(11):122-128. PMID: 25509706.
  55. Fumino S, Higuchi K, Aoi S, Furukawa T, Kimura O, Tajiri T. Clinical analysis of liver fibrosis in choledochal cyst. Pediatr Surg Int. 2013;29:1097-1102. https://doi.org/10.1007/s00383-013-3368-7
  56. Margonis GA, Spolverato G, Kim Y, et al. Minimally invasive resection of choledochal cyst: a feasible and safe surgical option. J Gastrointest Surg. 2015;19:858-865.  https://doi.org/10.1007/s11605-014-2722-y
  57. Kim NY, Chang EY, Hong YJ, Park S, Kim HY, Bai SJ, Han SJ. Retrospective assessment of the validity of robotic surgery in comparison to open surgery for pediatric choledochal cyst. Yonsei Med J. 2015;56:737-743.  https://doi.org/10.3349/ymj.2015.56.3.737
  58. Saing H, Han H, Chan K, et al. Early and late results of excision of choledochal cysts. J Pediatr Surg. 1997;32:1563-1566. https://doi.org/10.1016/s0022-3468(97)90453-x
  59. Ohashi T, Wakai T, Kubota M, et al. Risk of subsequent biliary malignancy in patients undergoing cyst excision for congenital choledochal cysts. J Gastroenterol Hepatol. 2013;28:243-247.  https://doi.org/10.1111/j.1440-1746.2012.07260.x
  60. Lee SE, Jang JY. Development of biliary malignancy after cyst excision for congenital choledochal cysts: what should we do? J Gastroenterol Hepatol. 2013;28:210-212.  https://doi.org/10.1111/jgh.12079

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