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KMID : 0870420160200030127
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2016 Volume.20 No. 3 p.127 ~ p.132
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Cosmetic selection of skin incision for resection of choledochal cyst in young female patients
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Hwang Shin
Choi Jong-Woo
Ha Tae-Yong
Song Gi-Won
Jung Dong-Hwan
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Abstract
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Backgrounds/Aims: Open surgery for choledochal cyst has a disadvantage of skin incision scar from operative wound, which can be a definite disadvantage especially in young female patients. This study focused on the cosmetic aspect of skin incision for resection of choledochal cyst in young female patients.
Methods: During a 2-year study period, 11 adult female patients aged less than 40 years underwent primary resection of choledochal cyst by a single surgeon. The cosmetic effect of two types of skin incision was evaluated.
Results: The patients underwent mini-laparotomy through either a right subcostal incision (n=8) or an upper midline incision (n=3). The mean length of skin incision was 10 cm for right subcostal incisions and 9 cm for upper midline incisions. It took approximately 1 hour to repair the operative wound meticulously in both groups. At the 6 month to 1 year follow-up, a slight bulge on the skin scar was observed in 3 (37.5%) patients of the right subcostal incision group and 1 (33.3%) patient of the upper midline incision group.
Conclusions: The results of this preliminary study support the claim that cosmetic effect of the upper midline incision for CCD surgery appears to be non-inferior to that of the right subcostal incision if the incision is placed accurately and repaired very meticulously.
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KEYWORD
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Choledochal cyst, Skin incision, Cosmetics, Young female, Upper midline incision
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