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A. Yamataka, H. Kobayashi, A. Shimotakahara, Y. Okada, T. Yanai, G. J. Lane, M. Urao and T. Miyano, “Recommendations for preventing complications related to Roux-en-Y hepatico-jejunostomy performed during excision of choledochal cyst in children,” Journal of Pediatric Surgery, Vol. 38, 2003, pp. 1830-1832.

has been cited by the following article:

• TITLE: A Modified Technique to Facilitate Anastomosis in Choledochal Cyst

  AUTHORS: Sezen Özkısacık, Mesut Yazıcı, Harun Gürsoy

  KEYWORDS: Anastomosis, Choledoch, Cyst

  JOURNAL NAME: International Journal of Clinical Medicine, Vol.1 No.2, November 30, 2010

  ABSTRACT: The method of choice for the treatment of choledochal cysts in children is excision of the cyst and Roux-en-Y (RY) choledochoenterostomy. When the ratio of the diameter of the main hepatic ductus to that of the proximal RY jejunum is 1:2.5 or lower during choledochoenterostomy, end-to-end anastomosis is recommended. However, this method may cause a difference in diameters between the ends. Here we will present the technical difficulty we experienced due to the difference in diameters in end-to-end RY choledochoenterostomy and our modified anastomosis technique of anas¬tomosis. This slight modification eliminated problems with anastomosis caused by a difference in the diameter of the jejunum and shortened operation time.