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R. Ohi, S. Yaoita, T. Kamiyama, M. Ibrahim, Y. Hayashi and T. Chiba, “Surgical treatment of congenital dilatation of the bile duct with special reference to late complica?tions after total excisional operation,” Journal of Pedi?atric Surgery, Vol. 25, 1990, pp. 613-617.

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.