Management of adult choledochal cysts.

Abstract:

:A review of the English literature reveals a total of 1,337 patients with choledochal cysts. Improved diagnostic techniques to visualize the biliary system are demonstrating an increasing number of unsuspected choledochal cysts in adult patients. Either choledochal cysts remain clinically silent until adulthood or may develop in later life. Experience is reported with adult patients having type I, II, III, and IV choledochal cysts. Type I cysts are preferably managed by excision but cyst anatomy may necessitate choledochoenteric drainage. Type II cysts are treated by excision except for those located within the pancreatic portion of the common bile duct. These are best managed by transduodenal cystoduodenostomy. The type III cyst (choledochocele) should be excised carefully, identifying and preserving the common bile and pancreatic ducts. Type IV cysts include a combination of any one of the first three types of cyst plus the presence of intrahepatic cyst or cysts. Treatment of these cysts is dictated by the type and location of the extrahepatic cyst. Since choledochal cysts are being recognized with increased frequency in adults, surgeons need to be aware of the diagnostic and treatment modalities available for each type of biliary cyst.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Powell CS,Sawyers JL,Reynolds VH

doi

10.1097/00000658-198105000-00018

subject

Has Abstract

pub_date

1981-05-01 00:00:00

pages

666-76

issue

5

eissn

0003-4932

issn

1528-1140

journal_volume

193

pub_type

杂志文章
  • The operative treatment of Crohn's enteritis complicated by ileosigmoid fistula.

    abstract::An ileosigmoid fistula complicating Crohn's disease of the small bowel has been considered a perplexing entity, but in practice does not pose a serious operative problem. The presence of such a fistula does not signify that the sigmoid colon is a primary site of Crohn's disease. The operative treatment of this entity ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198209000-00015

    authors: Block GE,Schraut WH

    更新日期:1982-09-01 00:00:00

  • Major liver resection for hilar cholangiocarcinoma.

    abstract::Between 1968 and 1984 liver resection with curative attempt was performed in 22 patients with hilar cholangiocarcinoma. Right lobectomy was performed in 4 patients, extended right lobectomy in 7, left lobectomy in 8, and excision of the median segment segment of the left lobe (segment IV) in 3. Bilio-enteric continuit...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198802000-00002

    authors: Bengmark S,Ekberg H,Evander A,Klofver-Stahl B,Tranberg KG

    更新日期:1988-02-01 00:00:00

  • Personal experience with 411 hepatic resections.

    abstract::Over a 24-year period, 411 partial hepatic resections were performed: 142 right or left trisegmentectomies, 158 lobectomies, 25 segmentectomies, and 86 local excisions. The operations were performed for benign lesions in 182 patients, for primary hepatic malignancies in 106, and for hepatic metastases in 123, includin...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198810000-00004

    authors: Iwatsuki S,Starzl TE

    更新日期:1988-10-01 00:00:00

  • Surgical simulation: a systematic review.

    abstract:OBJECTIVE:To evaluate the effectiveness of surgical simulation compared with other methods of surgical training. SUMMARY BACKGROUND DATA:Surgical simulation (with or without computers) is attractive because it avoids the use of patients for skills practice and provides relevant technical training for trainees before t...

    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.sla.0000200839.93965.26

    authors: Sutherland LM,Middleton PF,Anthony A,Hamdorf J,Cregan P,Scott D,Maddern GJ

    更新日期:2006-03-01 00:00:00

  • Adequacy of margins of resection in gastrectomy for cancer.

    abstract::This study determines the infiltration rate of proximal and distal margins of resection in patients operated on for gastric cancer at the Istituto Nazionale Tumori of Milan. Two hundred and eighty-five proximal margins and 286 distal margins were reviewed, and the incidence of infiltration was related to the length of...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198212001-00012

    authors: Bozzetti F,Bonfanti G,Bufalino R,Menotti V,Persano S,Andreola S,Doci R,Gennari L

    更新日期:1982-12-01 00:00:00

  • Treatment of abdominal abscesses: comparative evaluation of operative drainage versus percutaneous catheter drainage guided by computed tomography or ultrasound.

    abstract::Computed tomography and, to a lesser extent, ultrasonography provide detailed anatomic localization of intra-abdominal abscesses that permit precise percutaneous placement of catheters large enough to effect drainage. Using routes similar to surgical approaches, the authors have used this technique as definitive thera...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198110000-00014

    authors: Johnson WC,Gerzof SG,Robbins AH,Nabseth DC

    更新日期:1981-10-01 00:00:00

  • Smartphone-Based Assessment of Preoperative Decision Conflict and Postoperative Physical Activity Among Patients Undergoing Cancer Surgery: A Prospective Cohort Study.

    abstract:OBJECTIVE:To determine the prevalence of clinically significant decision conflict (CSDC) among patients undergoing cancer surgery and associations with postoperative physical activity, as measured through smartphone accelerometer data. BACKGROUND:Patients with cancer face challenging treatment decisions, which may lea...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004487

    authors: Panda N,Solsky I,Cauley CE,Lipsitz S,Desai EV,Huang EJ,Benjamin EM,Lubitz CC,Onnela JP,Haynes AB

    更新日期:2020-09-15 00:00:00

  • Pathogenicity of the enterococcus in surgical infections.

    abstract::The enterococcus has been relegated to a position of unimportance in the pathogenesis of surgical infections. However the increasing prevalence and virulence of these bacteria prompt reconsideration of this view, particularly because the surgical patient has become increasingly vulnerable to infectious morbidity due t...

    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000658-199008000-00007

    authors: Barie PS,Christou NV,Dellinger EP,Rout WR,Stone HH,Waymack JP

    更新日期:1990-08-01 00:00:00

  • Acceleration of tensile strength of incisions treated with EGF and TGF-beta.

    abstract::The ability of surgeons to accelerate wound healing through pharmacologic intervention is limited. The effects of locally applied, biosynthetic human epidermal growth factor (EGF) and transforming growth factor-beta (TGF-beta) on tensile strength of experimental incisions were investigated. A single dose of EGF in sal...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198812000-00019

    authors: Brown GL,Curtsinger LJ,White M,Mitchell RO,Pietsch J,Nordquist R,von Fraunhofer A,Schultz GS

    更新日期:1988-12-01 00:00:00

  • Blood transfusions and prognosis in colorectal cancer: long-term results of a randomized controlled trial.

    abstract:OBJECTIVE:Perioperative blood transfusions may adversely affect survival in patients with colorectal malignancy, although definite proof of a causal relationship has never been reported. BACKGROUND:We report the long-term outcomes of a randomized controlled trial performed between 1986 and 1991 to compare the effects ...

    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/SLA.0b013e318271cedf

    authors: Harlaar JJ,Gosselink MP,Hop WC,Lange JF,Busch OR,Jeekel H

    更新日期:2012-11-01 00:00:00

  • Early cholecystectomy for acute cholecystitis: a prospective randomized study.

    abstract::A randomized clinical trial was undertaken to compare early and delayed cholecystectomy for acute cholecystitis. Patients entering early (n = 83) or delayed (n = 82) surgery groups were comparable with regard to prerandomization data. One patient in the early group and five in the delayed group refused surgery (p < 0....

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000658-198004000-00018

    authors: Järvinen HJ,Hästbacka J

    更新日期:1980-04-01 00:00:00

  • Defining lower limb lymphedema after inguinal or ilio-inguinal dissection in patients with melanoma using classification and regression tree analysis.

    abstract:OBJECTIVE:This study aims to objectively define the criteria for assessing the presence of lymphedema and to report the prevalence of lymphedema after inguinal and ilio-inguinal (inguinal and pelvic) lymph node dissection for metastatic melanoma. SUMMARY BACKGROUND DATA:Lymphedema of the lower limb is a common problem...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e31817ed7c3

    authors: Spillane AJ,Saw RP,Tucker M,Byth K,Thompson JF

    更新日期:2008-08-01 00:00:00

  • Chemical debridement of burns.

    abstract::The development of effective, non-toxic (local and systemic) methods for the rapid chemical (enzymatic and non-enzymatic) debridement of third degree burns would dramatically reduce the morbidity and mortality of severely burned patients. Sepsis is still the major cause of death of patients with extensive deep burns. ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197410000-00032

    authors: Levenson SM,Kan D,Gruber C,Crowley LV,Lent R,Watford A,Seifter E

    更新日期:1974-10-01 00:00:00

  • Changes in lung ultrastructure following heterologous and homologous serum albumin infusion in the treatment of hemorrhagic shock.

    abstract::The object of this study was to compare the ultrastructure pulmonary effects of the infusion of homologous and heterologous serum albumin solution in the treatment of hemorrhagic shock in baboons. Adult baboons subjected to hemorrhagic shock were resuscitated with either baboon serum albumin, human serum albumin, or R...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197902000-00016

    authors: Moss GS,Das Gupta TK,Brinkman R,Sehgal L,Newsom B

    更新日期:1979-02-01 00:00:00

  • A Statistical Model-driven Surgical Case Scheduling System Improves Multiple Measures of Operative Suite Efficiency: Findings From a Single-center, Randomized Controlled Trial.

    abstract:OBJECTIVE:We sought to determine whether a data-driven scheduling approach improves Operative Suite (OS) efficiency. BACKGROUND:Although efficient use of the OS is a critical determinant of access to health care services, OS scheduling methodologies are simplistic and do not account for all the available characteristi...

    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0000000000002763

    authors: Kougias P,Tiwari V,Sharath SE,Garcia A,Pathak A,Chen M,Ramsey D,Barshes NR,Berger DH

    更新日期:2019-12-01 00:00:00

  • Is competency assessment at the specialist level achievable? A study for the national training programme in laparoscopic colorectal surgery in England.

    abstract:OBJECTIVES:To develop, validate, and implement a competency assessment tool (CAT) for technical surgical performance in the context of a summative assessment process for the National Training Programme in Laparoscopic Colorectal Surgery (NTP). BACKGROUND:The NTP is an educational initiative by the National Cancer Acti...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e318275b72a

    authors: Miskovic D,Ni M,Wyles SM,Kennedy RH,Francis NK,Parvaiz A,Cunningham C,Rockall TA,Gudgeon AM,Coleman MG,Hanna GB,National Training Programme in Laparoscopic Colorectal Surgery in England.

    更新日期:2013-03-01 00:00:00

  • Protective effects of ischemic preconditioning for liver resection performed under inflow occlusion in humans.

    abstract:OBJECTIVE:To determine whether ischemic preconditioning protects the human liver against a subsequent period of ischemia in patients undergoing hemihepatectomy, and to identify possible underlying protective mechanisms of ischemic preconditioning, such as inhibition of hepatocellular apoptosis. SUMMARY BACKGROUND DATA...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200008000-00001

    authors: Clavien PA,Yadav S,Sindram D,Bentley RC

    更新日期:2000-08-01 00:00:00

  • How Much Weight Loss is Required for Cardiovascular Benefits? Insights From a Metabolic Surgery Matched-cohort Study.

    abstract:OBJECTIVE:The aim of this study was to determine the minimum amount of weight loss required to see a reduction in major adverse cardiovascular events (MACE). BACKGROUND:Although obesity is an established risk factor for morbidity and mortality, the minimum amount of weight loss to have a meaningful impact on cardiovas...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004369

    authors: Aminian A,Zajichek A,Tu C,Wolski KE,Brethauer SA,Schauer PR,Kattan MW,Nissen SE

    更新日期:2020-10-01 00:00:00

  • Malignant fibrous histiocytoma of the pulmonary artery.

    abstract::A patient is reported whose symptoms and clinical features were interpreted as pulmonary embolism. However, the ultimate diagnosis was malignant fibrous histiocytoma of the pulmonary artery, which was made evident at operation. Although extremely rare in the early medical literature, primary sarcoma of the pulmonary a...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198702000-00017

    authors: Van Damme H,Vaneerdeweg W,Schoofs E

    更新日期:1987-02-01 00:00:00

  • Comparative study of portal vein embolization versus portal vein ligation for induction of hypertrophy of the future liver remnant using a mini-pig model.

    abstract:SUMMARY BACKGROUND DATA:The extent of hepatectomies is limited by the functional reserve of the remnant liver. The introduction of preoperative portal vein occlusion techniques to induce a preoperative hyperplasia of the future liver remnant has reduced the risk of postoperative liver failure. However, it has remained ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e31816a9d7c

    authors: Wilms C,Mueller L,Lenk C,Wittkugel O,Helmke K,Krupski-Berdien G,Rogiers X,Broering DC

    更新日期:2008-05-01 00:00:00

  • Current concepts in the mediastinal lymph node staging of nonsmall cell lung cancer.

    abstract:OBJECTIVE:To review the current concepts in the mediastinal staging of nonsmall cell lung cancer (NSCLC), evaluating traditional and modern staging modalities. SUMMARY BACKGROUND DATA:Staging of NSCLC includes the assessment of mediastinal lymph nodes. Traditionally, computed tomography (CT) and mediastinoscopy are us...

    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.SLA.0000081086.37779.1a

    authors: Kramer H,Groen HJ

    更新日期:2003-08-01 00:00:00

  • Enteral contrast in the computed tomography diagnosis of appendicitis: comparative effectiveness in a prospective surgical cohort.

    abstract:OBJECTIVE:Our goal was to perform a comparative effectiveness study of intravenous (IV)-only versus IV + enteral contrast in computed tomographic (CT) scans performed for patients undergoing appendectomy across a diverse group of hospitals. BACKGROUND:Small randomized trials from tertiary centers suggest that enteral ...

    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/SLA.0000000000000272

    authors: Drake FT,Alfonso R,Bhargava P,Cuevas C,Dighe MK,Florence MG,Johnson MG,Jurkovich GJ,Steele SR,Symons RG,Thirlby RC,Flum DR,Writing Group for SCOAP-CERTAIN.

    更新日期:2014-08-01 00:00:00

  • Comparison of Patient Outcomes Among Integrated Residency Versus Fellowship-Trained Vascular Surgeons.

    abstract:OBJECTIVE:This study aims to evaluate whether graduates of integrated vascular surgery residency (IVSR) programs achieve similar surgical outcomes in clinical practice as compared to graduates of vascular surgery fellowships (VSF). SUMMARY BACKGROUND DATA:Early sub-specialization through IVSR programs decreases the to...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004706

    authors: Smith BK,Finlayson SRG,Perler BA,Presson AP,Allen CM,Brooke BS

    更新日期:2020-12-18 00:00:00

  • Prevention of biliary lesions that may occur during radiofrequency ablation of the liver: study on the pig.

    abstract:OBJECTIVE:To prevent bile duct injury by using a cold 5% glucose isotonic solution cooling in the bile ducts when radiofrequency (RF) is performed in a porcine model. SUMMARY BACKGROUND DATA:Complications that may arise during liver RF ablation include biliary stenosis and abscesses. METHODS:The RITA 1500 generator w...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/01.sla.0000193831.39362.07

    authors: Marchal F,Elias D,Rauch P,Zarnegar R,Leroux A,Stines J,Verhaeghe JL,Guillemin F,Carteaux JP,Villemot JP

    更新日期:2006-01-01 00:00:00

  • Racial/Ethnic Disparities in Perioperative Outcomes of Major Procedures: Results From the National Surgical Quality Improvement Program.

    abstract:OBJECTIVE:To determine the association between race/ethnicity and perioperative outcomes in individuals undergoing major oncologic and nononcologic surgical procedures in the United States. BACKGROUND:Prior work has shown that there are significant racial/ethnic disparities in perioperative outcomes after several type...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001078

    authors: Ravi P,Sood A,Schmid M,Abdollah F,Sammon JD,Sun M,Klett DE,Varda B,Peabody JO,Menon M,Kibel AS,Nguyen PL,Trinh QD

    更新日期:2015-12-01 00:00:00

  • Liver Resection and Transplantation for Patients With Hepatocellular Carcinoma Beyond Milan Criteria.

    abstract:OBJECTIVES:To assess survival after liver resection and transplantation in patients with hepatocellular carcinoma (HCC) beyond Milan criteria. BACKGROUND:The role of liver resection and transplantation remains controversial for patients with HCC beyond Milan criteria. Resection of advanced tumors and transplantation u...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001866

    authors: Zaydfudim VM,Vachharajani N,Klintmalm GB,Jarnagin WR,Hemming AW,Doyle MB,Cavaness KM,Chapman WC,Nagorney DM

    更新日期:2016-10-01 00:00:00

  • Suppression of gastrin release and gastric secretion by gastric inhibitory polypeptide (GIP) and vasoactive intestinal polypeptide (VIP).

    abstract::Five dogs prepared with Heidenhain pouches received infusions of saline, GIP and VIP before and after a standard meat meal. Blood samples were obtained under basal conditions and at subsequent intervals for measurement of gastrin, insulin, GIP and VIP by radioimmunoassay. GIP and VIP infusions had no effect on basal l...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197607000-00016

    authors: Villar HV,Fender HR,Rayford PL,Bloom SR,Ramus NI,Thompson JC

    更新日期:1976-07-01 00:00:00

  • Do Surgeons React?: A Retrospective Analysis of Surgeons' Response to Harassment of a Colleague During Simulated Operating Theatre Scenarios.

    abstract:OBJECTIVE:To assess and report on surgeons' ability to identify and manage incidences of harassment. BACKGROUND:The Royal Australasian College of Surgeons is committed to driving out discrimination, bullying, harassment, and sexual harassment from surgical training and practice, through changing the culture of the wor...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002434

    authors: Gostlow H,Vega CV,Marlow N,Babidge W,Maddern G

    更新日期:2018-08-01 00:00:00

  • Prospective Phase II Trials Validate the Effect of Neoadjuvant Chemotherapy on Pattern of Recurrence in Pancreatic Adenocarcinoma.

    abstract:OBJECTIVE:The objective of this study was to characterize the patterns of first recurrence after curative-intent resection for pancreatic adenocarcinoma (PDAC). SUMMARY BACKGROUND DATA:We evaluated the first site of recurrence after neoadjuvant treatment as locoregional (LR) or distant metastasis (DM). To validate our...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004585

    authors: Chawla A,Qadan M,Castillo CF,Wo JY,Allen JN,Clark JW,Murphy JE,Catalano OA,Ryan DP,Ting DT,Deshpande V,Weekes CD,Parikh A,Lillemoe KD,Hong TS,Ferrone CR

    更新日期:2020-10-19 00:00:00

  • A systematic review of economic evaluations of enhanced recovery pathways for colorectal surgery.

    abstract:OBJECTIVE:To perform a systematic review of economic evaluations of enhanced recovery pathways (ERP) for colorectal surgery. BACKGROUND:Although there is extensive literature investigating the clinical effectiveness of ERP, little is known regarding its cost-effectiveness. METHODS:A systematic literature search ident...

    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SLA.0b013e318295fef8

    authors: Lee L,Li C,Landry T,Latimer E,Carli F,Fried GM,Feldman LS

    更新日期:2014-04-01 00:00:00