Biliary cysts in adults: Cerrahpaşa experience
Ali Vedat Durgun1
, Sefa Ergün1, Başar Can Turgut1, Osman Şimşek1, Mehmet Velidedeoglu1, Kaya Sarıbeyoğlu2, Salih Pekmezci1
1Department of General Surgery, İstanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, İstanbul, Türkiye
2Department of General Surgery, Charite University, Berlin, Germany
Abstract
Objective: Biliary cysts are biliary duct dilatations, with 20% of the cysts being diagnosed in adulthood. Abdominal pain, jaundice and palpable abdominal mass are defined as the classical triad. However, nausea, vomiting, fever, itching and weight loss are frequent complaints. There are several treatment options depending on the type of the cyst. This study aimed to share our experience with biliary cysts and contribute to the literature on this subject.
Material and Methods: Thirty patients, who received treatment for biliary cyst from January 1981 to December 2018 at our clinic, were studied retrospectively. The patients were analyzed based on age, sex, type of the cyst, diagnosis and treatment methods, post-op follow up and complications.
Results: Twenty-seven of the patients were females, and three were males. The patients were aged between 16 and 76 years, and the median age was 41.9 years. All patients presented with abdominal pain, which was accompanied by cholangitis in nine patients, nausea and vomiting in four patients, dyspepsia in three patients and palpable mass in one patient. According to the Todani classification, biliary cyst findings were consistent with Type I in 23 patients, Type V in three patients, Type IV in two patients, Type II in one patient and Type III in one patient.
Conclusion: Diagnosis and treatment are complex in biliary cysts due to anatomical proximity and variations. Therefore, it would be beneficial to refer them to referral centers. Choice of treatment should be based on the type of the cyst.
Keywords: Biliary cysts, choledochal cysts, Todani, surgical treatment
Cite this article as: Durgun AV, Ergün S, Turgut BC, Şimşek O, Velidedeoğlu M, Sarıbeyoğlu K, et al. Biliary cysts in adults: Cerrahpaşa experience. Turk J Surg 2023; 39 (4): 315-320.
This study was approved by Cerrahpaşa Faculty of Medicine Deanery Clinical Researches Ethics Committee (Decision no: 83045809-60401.02., Date: 07.07.2020).
Externally peer-reviewed.
Concept - AVD, SP, KS; Design - AVD, SE, BCT, SP; Supervision - SP, OS, MV; Materials - AVD, SP, KS, OS; Data Collection and/ or Processing - SE, BCT; Analysis and/or Interpretation - AVD, SE; Literature Search - AVD, SE, SP; Writing Manuscript - AVD, SE, DS; Critical Review - BP, KS.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.