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Alkhasov A.B.

National Medical Research Center for Children’s Health

Gurskaya A.S.

National Medical Research Center for Children’s Health

Bayazitov R.R.

National Medical Research Center for Children’s Health

Nakovkin O.N.

National Medical Research Center for Children’s Health

Sulavko M.A.

National Medical Research Center for Children’s Health

Karnuta I.V.

National Medical Research Center for Children’s Health

Ekimovskaya E.V.

National Medical Research Center for Children’s Health

Kyarimov I.A.

National Medical Research Center for Children’s Health

Akhmedova D.M.

National Medical Research Center for Children’s Health

Klepikova A.A.

National Medical Research Center for Children’s Health

Ratnikov S.A.

National Medical Research Center for Children’s Health

Fisenko A.P.

National Medical Research Center for Children’s Health

Choledochal cysts: surgical treatment in newborns and infants

Authors:

Alkhasov A.B., Gurskaya A.S., Bayazitov R.R., Nakovkin O.N., Sulavko M.A., Karnuta I.V., Ekimovskaya E.V., Kyarimov I.A., Akhmedova D.M., Klepikova A.A., Ratnikov S.A., Fisenko A.P.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(3): 5‑13

DOI: 10.17116/hirurgia20240315

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Table of contents

To cite this article:

Alkhasov AB, Gurskaya AS, Bayazitov RR, et al. . Choledochal cysts: surgical treatment in newborns and infants. Pirogov Russian Journal of Surgery. 2024;(3):5‑13. (In Russ.)
https://doi.org/10.17116/hirurgia20240315

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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OBJECTIVE

To improve postoperative outcomes in newborns and infants with choledochal cysts and to determine the indications for surgery.

MATERIAL AND METHODS

There were 13 children aged 0—3 months with choledochal cyst who underwent reconstructive surgery between 2019 and 2023. In all children, choledochal cyst was associated with cholestasis. Acholic stool was observed in almost half of the group (n=7). All children underwent cyst resection and Roux-en-Y hepaticoenterostomy.

RESULTS

Symptoms of cholestasis regressed in all patients. Mean surgery time was 128±27 min. There were no complications. Enteral feeding was started after 1—2 postoperative days, abdominal drainage was removed after 6.2±1.6 days. Mean length of hospital-stay was 16±3.7 days. Adequate bile outflow is one of the main principles. For this purpose, anastomosis with intact tissues of hepatic duct should be as wide as possible. Roux-en-Y loop should be at least 40—60 cm to prevent postoperative cholangitis.

CONCLUSION

Drug-resistant cholestasis syndrome and complicated choledochal cysts (cyst rupture, bile peritonitis) are indications for surgical treatment in newborns and infants. When forming Roux-en-Y hepaticoenterostomy, surgeon should totally excise abnormal tissues of the biliary tract to prevent delayed malignant transformation.

Keywords:

choledochal cyst
newborns
hepaticoenterostomy

Authors:

Alkhasov A.B.

National Medical Research Center for Children’s Health

Gurskaya A.S.

National Medical Research Center for Children’s Health

Bayazitov R.R.

National Medical Research Center for Children’s Health

Nakovkin O.N.

National Medical Research Center for Children’s Health

Sulavko M.A.

National Medical Research Center for Children’s Health

Karnuta I.V.

National Medical Research Center for Children’s Health

Ekimovskaya E.V.

National Medical Research Center for Children’s Health

Kyarimov I.A.

National Medical Research Center for Children’s Health

Akhmedova D.M.

National Medical Research Center for Children’s Health

Klepikova A.A.

National Medical Research Center for Children’s Health

Ratnikov S.A.

National Medical Research Center for Children’s Health

Fisenko A.P.

National Medical Research Center for Children’s Health

Received:

20.09.2023

Accepted:

21.10.2023

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