Role of the Surgical Method in Development of Postoperative Cholangiocarcinoma in Todani Type IV Bile Duct Cysts

Table 1

Surgical approaches and postoperative clinical presentations of 33 patients treated at other hospitals who developed postoperative malignancy.

Clinical presentation	Surgical approach
	CD; ()	CJ; ()	Extrahepatic cyst excision and Roux-en-Y HJ ()	Extrahepatic cyst excision and Roux-en-Y HJ with partial liver resection ()	T-tube drainage after bile duct exploration ()	Total number (%)
Cholangitis	7	11	10	1	4	33 (100)
Abdominal pain	5	7	10	1	4	27 (81.8)
Fever	6	9	6	1	3	25 (75.8)
Jaundice	4	10	5	1	2	22 (66.7)
Cholangiolithiasis	5	8	8	1	4	26 (78.8)
Biliary-enteric anastomotic stenosis	3	9	10	1	0	23 (69.7)

CD: choledochoduodenostomy; CJ: choledochojejunostomy; HJ: hepaticojejunostomy.