• Hong-Tian Xia, Jia-Hong Dong, Tao Yang, Bin Liang, and Jian-Ping Zeng.
• Hospital and Institute of Hepatobiliary Surgery, Chinese PLA General Hospital, Chinese PLA Medical School, 100853, Beijing, China, Xiahongtian115@sina.com.
• J. Gastrointest. Surg. 2015 Feb 1; 19 (2): 290-7.

Background/PurposeOur purpose was to evaluate the reasons for reoperations and outcomes in patients with choledochal cysts (CCs).MethodsThe records of patients with CCs who underwent reoperations from 1995 to 2012 were retrospectively reviewed.ResultsOf 165 patients with a mean age of 42.54 ± 14.05 years, 62 had Todani type I (37.6 %), 84 type IV-A (50.9 %), and 19 had unknown type CCs (11.5 %). Previous surgery was internal or external drainage alone in 66.1 % of patients with type I and 23.8 % of patients with type IV-A CCs. Partial cyst excision and Roux-en-Y cyst-jejunostomy or cyst excision and choledochoplasty by jejunal interposition were performed in 16.1 and 11.3 % of patients with type I and IV-A CCs, respectively. Reoperations at our hospital were maximal cyst excision and Roux-en-Y hepaticojejunostomy. Radical cyst excision was achieved in 93.5 % of patients with type I and 44.0 % of patients with type IV-A CCs. With an average follow-up of 48.23 ± 12.30 months, recurrent cholangitis and biliary-enteric anastomotic stenosis occurred in 18 (13.2 %) and 9 patients (6.6 %), respectively. Long-term biliary function was excellent or good in 83.8 % of patients.ConclusionsRadical cyst excision and Roux-en-Y hepaticojejunostomy provide good outcomes in patients with CCs.

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