{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:04:00Z","timestamp":1793196240108,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T00:00:00Z","timestamp":1587427200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surgery Research and Practice"],"published-print":{"date-parts":[[2020,4,21]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Although choledochal cyst disease is seen predominantly in childhood, it is becomingly increasingly diagnosed in adult patients. <jats:italic>Methods<\/jats:italic>. Data of 36 patients with choledochal cysts managed in our institute between January 2010 and December 2018 were retrospectively analyzed. <jats:italic>Results<\/jats:italic>. Median age at presentation was 37 years (range: 13\u201372 years). Female-to-male ratio was 3.5\u2009:\u20091. All patients were symptomatic, and abdominal pain was the most common symptom. 72.2% had other associated conditions. There was a considerable delay from the onset of symptoms to referral, median duration being 348 days. There were 28 cases of type I (77.8%), 5 cases of type IVA (13.9%), and 3 cases of type IVB (8.3%). Cyst excision with Roux-en-Y hepaticojejunostomy was performed in 29 (80.55%) cases. This procedure was combined with a left lateral sectionectomy, left hepatectomy, and radical cholecystectomy in 1, 2, and 1 cases, respectively. Lilly\u2019s technique was used in 2 cases, and cyst excision with hepaticoduodenostomy was performed in 1 case. Early complications were seen in 21 patients (58.3%), and late complications were seen in 5 patients (13.8%). 2 patients were found to have associated malignancies. One patient was detected to have cholangiocarcinoma in the resected liver incidentally, and another patient was diagnosed to have gall bladder cancer intraoperatively. <jats:italic>Conclusion<\/jats:italic>. Choledochal cysts should be considered in the differential diagnosis of adults presenting with epigastric or right hypochondrium pain or jaundice. A thorough preoperative evaluation is required. Cyst excision with Roux-en-Y hepaticojejunostomy forms the standard treatment in most cases. Long-term follow-up is essential for management of complications and early detection of malignant change.<\/jats:p>","DOI":"10.1155\/2020\/8017460","type":"journal-article","created":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T23:32:11Z","timestamp":1587511931000},"page":"1-8","source":"Crossref","is-referenced-by-count":7,"title":["Management of Choledochal Cysts at a Tertiary Care Centre: A Nine-Year Experience from India"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5400-4697","authenticated-orcid":true,"given":"Pranav","family":"Honnavara Srinivasan","sequence":"first","affiliation":[{"name":"Institute of Surgical Gastroenterology, Rajiv Gandhi Government General Hospital, Madras Medical College, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amudhan","family":"Anbalagan","sequence":"additional","affiliation":[{"name":"Institute of Surgical Gastroenterology, Rajiv Gandhi Government General Hospital, 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