Evolution in the treatment of choledochus cyst

J Pediatr Surg. 2000 Sep;35(9):1344-7. doi: 10.1053/jpsu.2000.9329.


Purpose: The aim of this study was to reevaluate the results of the short jejunal interposition (Chicago-Beijing procedure) in the treatment of choledochus cyst and search for the way of further improvement.

Methods: A retrograde study of some 500 surgical cases was made. The immediate postoperative and 10-year follow-up results of the 3 main procedures used in 3 different time periods were compared. Twenty-five redo cases of the above-mentioned series and another 6 referred from other hospitals were analyzed specially for the main cause of complications.

Results: Ten-year uneventful follow-up occurred in more than 90% of cases after the Chicago-Beijing procedure, which was evidently superior to other 2 kinds of methods. Having solved the problems of the abnormal pancreatico-biliary communication and entero-biliary reflux, it remains the challenge of the anastomosis stricture. Malignancy degeneration disappeared dramatically after total excision of the cyst.

Conclusions: Chicago-Beijing procedure proved to be the most reliable operation for choledochus cyst in comparison with the other 2 conventional methods in BCH. The prevention of anastomosis stricture should be emphasized for the further improvement of the surgical result.

Publication types

  • Comparative Study

MeSH terms

  • Anastomosis, Roux-en-Y / methods*
  • China
  • Choledochal Cyst / surgery*
  • Duodenostomy / methods*
  • Female
  • Hepatic Duct, Common / surgery*
  • Humans
  • Infant, Newborn
  • Jejunum / surgery*
  • Male
  • Postoperative Complications
  • Reoperation
  • Retrospective Studies
  • Treatment Outcome