Bile duct cysts: Contemporary surgical management

Michael L. Kendrick, David M. Nagorney

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

PURPOSE OF REVIEW: Surgical treatment of bile duct cysts remains the mainstay to reduce cyst-related complications and risk of malignancy. Optimizing treatment outcomes is dependent upon a thorough preoperative evaluation and selecting the appropriate intervention. This review summarizes the recent progress in the evaluation and treatment of bile duct cysts, particularly in relation to contemporary operative approaches. RECENT FINDINGS: Ongoing efforts continue in optimizing the evaluation, classification and management of bile duct cysts. The risk of cholangiocarcinoma is not limited to the bile duct cyst itself and appropriate management and surveillance is paramount. Recent advances in laparoscopic and endoscopic equipment have paralleled an increasing interest in minimally invasive approaches in the management of patients with bile duct cysts. Favorable results of laparoscopic approaches are increasingly reported and suggest the feasibility of this technique in select patients. SUMMARY: Although the surgical premise of resection has not changed for the treatment of bile duct cysts, there has been an increasing utilization of minimally invasive approaches. Results thus far are promising, but long-term, controlled data is needed before this approach can be considered standard.

Original languageEnglish (US)
Pages (from-to)240-244
Number of pages5
JournalCurrent Opinion in Gastroenterology
Volume25
Issue number3
DOIs
StatePublished - May 1 2009

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Keywords

  • Bile duct cysts
  • Cholangiocarcinoma
  • Choledochal cysts

ASJC Scopus subject areas

  • Gastroenterology

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