The resection of a choledochal cyst was performed in two patients (22
and 31 years old, both type Todani IVa). Reconstruction of the biliary
-intestinal drainage was performed by interposition of a 15 cm jejunal
segment between the liver hilum and duodenum. In both patients, hepat
ico-jejunostomy could be endoscopically evaluated 5-6 months after the
operation, showing patent anastomoses without any signs of reflux or
cholangitis.