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Another adult patient developed a carcinoma in the cyst 9 years after internal drainage. The incidence of malignant change in the series was therefore 15 per cent. Only five patients have remained well after surgery: three had complete excision and two internal drainage. Of the eight other patients, one had complete excision, five had internal drainage, one had partial excision and one had cholecystectomy and (years later) sphincterotomy. We believe that excision of the cyst is the treatment of choice.<\/jats:p>","DOI":"10.1002\/bjs.1800750826","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T11:55:02Z","timestamp":1172922902000},"page":"799-801","source":"Crossref","is-referenced-by-count":31,"title":["Choledochal cyst: A 33-year review"],"prefix":"10.1093","volume":"75","author":[{"given":"J F R","family":"Robertson","sequence":"first","affiliation":[{"name":"Royal Hospital for Sick Children , Yorkhill, Glasgow,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P A M","family":"Raine","sequence":"additional","affiliation":[{"name":"Royal Hospital for Sick Children , Yorkhill, Glasgow,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1988,8,1]]},"reference":[{"key":"2024092806022846900_bib1","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/S0022-3468(85)80238-4","article-title":"Surgical management of choledochal cysts: a review of 60 cases","volume":"20","author":"Saing","year":"1985","journal-title":"J Pediatr Surg"},{"key":"2024092806022846900_bib2","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1097\/00000658-198105000-00018","article-title":"Management of adult choledochal cysts","volume":"193","author":"Powell","year":"1981","journal-title":"Ann Surg"},{"key":"2024092806022846900_bib3","first-page":"311","article-title":"Congenital cystic dilation of the common bile duct","volume":"72","author":"Tsardakas","year":"1955","journal-title":"Arch Surg"},{"key":"2024092806022846900_bib4","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1001\/archpedi.1983.02140330047012","article-title":"Type I and III choledochal cyst","volume":"137","author":"Hadidi","year":"1983","journal-title":"Am J Dis Child"},{"key":"2024092806022846900_bib5","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1097\/00000658-197511000-00017","article-title":"Biliary cysts","volume":"182","author":"Flanigan","year":"1975","journal-title":"Ann Surg"},{"key":"2024092806022846900_bib6","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1016\/0002-9610(80)90051-3","article-title":"Congenital choledochal cyst. Analysis of 1,433 patients in the Japanese literature","volume":"140","author":"Yamaguchi","year":"1980","journal-title":"Am J Surg"},{"key":"2024092806022846900_bib7","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/S0022-3468(81)80703-8","article-title":"Choledochal cyst: Survey by the Surgical Section of the American Academy of Paediatrics","volume":"16","author":"Kim","year":"1981","journal-title":"J Pediatr Surg"},{"key":"2024092806022846900_bib8","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1002\/1097-0142(197909)44:3<1134::AID-CNCR2820440350>3.0.CO;2-T","article-title":"Carcinoma arising in the wall of congenital bile duct cysts","volume":"44","author":"Todani","year":"1979","journal-title":"Cancer"},{"key":"2024092806022846900_bib9","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1097\/00000658-197803000-00011","article-title":"Management of congenital choledochal cyst with intra-hepatic involvement","volume":"187","author":"Todani","year":"1978","journal-title":"Ann Surg"},{"key":"2024092806022846900_bib10","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1002\/bjs.1800720819","article-title":"Caroli's disease: successful management using permanent-access hepaticojejunostomy","volume":"72","author":"Barker","year":"1985","journal-title":"Br J Surg"},{"key":"2024092806022846900_bib11","first-page":"231","article-title":"Congenital choledochal cyst: New etiological concept based on anomalous relationship of the common bile duct and pancreatic bulb","volume":"12","author":"Babbitt","year":"1969","journal-title":"Ann Radiol"},{"key":"2024092806022846900_bib12","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S0022-3468(79)80569-2","article-title":"Congenital biliary tract dilatation and anomalous junction of the pancreatico-biliary ductal system","volume":"14","author":"Arima","year":"1979","journal-title":"J Pediatr Surg"},{"key":"2024092806022846900_bib13","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/S0022-3468(79)80490-X","article-title":"Anatomic observations and etiologic and surgical considerations in choledochal cyst","volume":"14","author":"Jona","year":"1979","journal-title":"J Pediatr Surg"},{"key":"2024092806022846900_bib14","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1016\/S0022-3468(86)80011-2","article-title":"Biliary manometry in choledochal cyst with abnormal choledochopancreatico ductal junction","volume":"21","author":"Iwai","year":"1986","journal-title":"J Pediatr Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800750826","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/75\/8\/799\/59386470\/bjs1800750826.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/75\/8\/799\/59386470\/bjs1800750826.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T06:02:36Z","timestamp":1727503356000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/75\/8\/799\/6183157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,8,1]]},"references-count":14,"journal-issue":{"issue":"8","published-online":{"date-parts":[[1988,8,1]]},"published-print":{"date-parts":[[1988,8,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800750826","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1988,8]]},"published":{"date-parts":[[1988,8,1]]}}}