How are type I choledochal cysts treated?

Updated: Jul 01, 2020
  • Author: Emily Tommolino, MD; Chief Editor: BS Anand, MD  more...
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Answer

The treatment of choice is complete excision of the involved portion of the extrahepatic bile duct. A Roux-en-Y hepaticojejunostomy is performed to restore biliary-enteric continuity. [7, 8] (See images below.)

Intraoperative cholangiogram of a type I choledoch Intraoperative cholangiogram of a type I choledochal cyst.
Intraoperative image of a Roux-en-Y hepaticojejuno Intraoperative image of a Roux-en-Y hepaticojejunostomy to restore biliary-enteric continuity following resection of a choledochal cyst.

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