Recently, cyst excision has become the treatment of choice for choledochal cyst, that is based on a removal of a potential source of carcinoma, a significxantly lower incidence of recurrent cholangitis, biliayr calculi, anastomotic stricture. or
pancreatitis after excision, and lower incidences of postoperative early complication and mortality. A successful resection was reported with a wide rage of 20% to 80%. But there is no paper explaing this variable range of resection rate.
Fourteen
patients, surgically treated for choledochal cyst at the Guro Hospital, medical colleage of Korea university betwene Sep. 1983 and Aug. 1991, were analyzed with an univariate model in respect of influencing factors to resection of choledochal
cyst.
Patients were divided into two grous; one was a resected group (n=7), the othe ran unresected group (n=7). The only statistically significant factor was an association of biliary calculi (p=0.047), and a history of a previous biliary surgery and
age
older than 10 years influenced a failure of resection at 0.11 level of p value, respectively. Other factors such as clinical features at admission duration fo history, frequency of an acute attack, type and size of cyst, laboratory abnormalities,
and
bacteriologic status of bile, were not significant statistically. Now we are collecting raw data from another hospitals, and will add a more reliable analysis to this preliminary report.
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