Impact of previous cyst-enterostomy on patients' outcome following resection of bile duct cysts

作     者：Mehdi Ouaissi Reza Kianmanesh Emilia Ragot Jacques Belghiti Pietro Majno Gennaro Nuzzo Remi Dubois Yann Revillon Daniel Cherqui Daniel Azoulay Christian Letoublon Frane is-Rene Pruvot Francois Paye Patrick Rat Karim Boudjema Adeline Roux Jean-Yves Mabrut Jean-François Gigot 

作者机构：Department of General and Digestive SurgeryLa Timone Hospital13009 MarseilleFrance Department of Digestive and Endocrine SurgeryRobert DebréHospital51090 ReimsFrance Department of HPB SurgeryBeaujon Hospital92110 ClichyFrance Department of Digestive SurgeryGeneva University Hospital1205 GenevaSwitzerland Department of HPB SurgeryGemelli University Hospital00168 RomaItaly Department of Pediatric SurgeryMother and Children Hospital69677 BronFrance Department of Pediatric Digestive SurgeryNecker Hospital75175 ParisFrance Department of Digestive and HPB SurgeryPaul Brousse Hospital94800 VillejuifFrance Department of Digestive and HPB SurgeryHenri Mondor Hospital94000 CreteilFrance Department of Digestive SurgeryMichallon Hospital38043 GrenobleFrance Department of Digestive surgery and TransplantationClaude Huriez Hospital59037 LilleFrance Department of Digestive SurgerySaint Antoine Hospital75012 ParisFrance Department of Digestive SurgeryDijon University Hospital21000 DijonFrance Department of HPB SurgeryPontchaillou Hospital35033 RennesFrance Pôle Information Médicale Evaluation RechercheUnitéde Recherche Clinique69317 LyonFrance Department of Digestive Surgery and Hepatic TransplantationLa Croix-Rousse Hospital69317 LyonFrance Department of Abdominal Surgery and Transplantation Division of Hepato-Biliary and Pancreatic Surgery Cliniques Universitaires Saint-Luc1200 BrusselsBelgium 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志(英文版)(电子版))

年 卷 期：2016年第8卷第6期

页      面：427-435页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Bile duct cyst Congenital Biliary disease Cyst-enterostomy Long-term outcome 

摘      要：AIM:To analyze the impact of previous cyst-enterostomy of patients underwent congenital bile duct cysts(BDC)***:A multicenter European retrospective study between 1974 and 2011 were conducted by the French Surgical *** Todani subtypes I and IVb were *** imaging studies and operative and pathology reports underwent central *** with and without a previous history of cystenterostomy(CE)were ***:Among 243 patients with Todani types I and IVb BDC,16 had undergone previous CE(6.5%).Patients with a prior history of CE experienced a greater incidence of preoperative cholangitis(75%vs 22.9%,P0.0001),had more complicated presentations(75%vs 40.5%,P=0.007),and were more likely to have synchronous biliary cancer(31.3%vs 6.2%,P=0.004)than patients without a prior *** morbidity(75%vs 33.5%;P0.0008),severe complications(43.8%vs 11.9%;P=0.0026)and reoperation rates(37.5%vs 8.8%;P=0.0032)were also significantly greater in patients with previous CE,and their Mayo Risk Score,during a median follow-up of 37.5 mo(range:4-372 mo)indicated significantly more patients with fair and poor results(46.1%vs 15.6%;P=0.0136).CONCLUSION:This is the large series to show that previous CE is associated with poorer short-and longterm results after Todani types I and IVb BDC resection.