Impact of previous cyst-enterostomy on patients’ outcome following resection of bile duct cysts

Table 4 Preoperative treatment and types of surgery

	Patients with previous CE n = 16	Patients without previous CE n = 227	Total n = 243	P value
Preoperative biliary drainage	2 (12.5%)	14 (6.2%)	16 (6.6%)	0.2842
Types of surgical procedures
Absence of resection	1 (6.3%)	5 (2.2%)	6 (2.5%)	0.3384
Elective surgery	14 (87.5%)	214 (94.3%)	228 (93.8%)	0.2583
Emergency surgery	1 (6.2%)	9 (4.0%)	10 (4.1%)	0.5007
Complete cyst excision	13 (81.2%)	199 (87.6%)	212 (87.2%)	0.6631
Incomplete cyst excision	2 (12.5%)	23 (10.1%)	25 (10.3%)
Superior excision	1 (6.3%)	13 (5.7%)	14 (5.8%)
Inferior excision	1 (6.3%)	9 (4.0%)	10 (4.1%)	-
Unknown	0	1 (0.4%)	1 (0.4%)
Associated procedures
Hepatectomy	2 (12.5%)	4 (1.8%)	6 (2.5%)	0.0523
Pancreaticoduodenectomy	4 (25.0%)	4 (1.8%)	8 (3.3%)	0.0008
Stone extraction	2 (12.5%)	10 (4.4%)	12 (4.9%)	0.2072
Synchronous cancer excision	5 (31.3%)	13 (5.7%)1	18 (7.8%)	0.0043
Biliary reconstruction
Hepatico-jejunostomy	13 (81.2%)	208 (91.6%)	221 (90.9%)	0.1658
Hepatico-duodenostomy	2 (12.5%)	7 (3.1%)	9 (3.7%)	0.1116
Choledoco-duodenostomy	0	1 (0.4%)	1 (0.4%)	1.0000
MBC anastomosis	8/14 (57.1%)	96/180 (53.3%)	104/194 (53.6%)	0.7831

CE: Cyst-enterostomy; MBC: Main biliary convergence;

¹secondary central hepatectomy was performed after good response of chemotherapy.