EXCISION OF A CHOLEDOCHAL CYST AND SIMULTANEOUS HEPATIC LATERAL SEGMENTECTOMY

We treated a 4-year-old girl with a choledochal cyst (CC) with bilater al intrahepatic involvement. A severe stricture between the enormously dilated left intrahepatic bile duct and the dilated common hepatic du ct was found; this necessitated prophylactic hepatic lateral segmentec tomy together with excision of the CC to avoid possible stone formatio n in the cystically dilated left intrahepatic duct. The choice of the combined procedures was based upon long-term results of other patients in our experience. This is the first such procedure to be reported.