Adv Pediatr Surg.  2023 Dec;29(2):49-57. 10.13029/aps.2023.29.2.49.

A Comparative Study of Two National Surveys of Choledochal Cysts in the Korean Association of Pediatric Surgeons

• Park J
• Kim DY
• Kim SC
• Kim HY
• Nam SH
• Seo JM
• Oh JT
• Lee MD
• Lee SK
• Ahn SM
• Chang HK
• Jung SE
• Jeong YJ
• Jung E
• Chung JH
• Cho YH
• Choi SO
• Choi SH
• Choe YM
• Han SJ
• Hong J
• Lee NH

• KMID: 2551513
• DOI: http://doi.org/10.13029/aps.2023.29.2.49

Abstract

Purpose
The Korean Association of Pediatric Surgeons (KAPS) has conducted annual national surveys, each year addressing a different topic regarding pediatric surgical diseases, and the data of these surveys are discussed at each respective annual spring meeting of KAPS.
Methods
In 2002 and 2017, KAPS conducted two national surveys for choledochal cysts. The authors reviewed the data from the national surveys and analyzed the differences or changes in demographic characteristics, clinical findings, diagnostic methods, treatment, and outcomes of pediatric patients with choledochal cysts who had been treated by KAPS members.
Results
A total of 348 and 241 patients with choledochal cysts were enrolled in the first and second national surveys, respectively. The male-to-female ratio was 1:3.4 and 1:2.7 in the first and second national surveys, respectively. In both national surveys, abdominal pain was the most common clinical symptom. The most common type of choledochal cyst was type I in 71.3% and 73.9% of patients in the first and second national surveys, respectively. In the first national survey, all 348 patients underwent open surgery. However, in the second national survey of 241 patients, open, laparoscopic, and robotic surgeries were performed in 102 (42.3%), 75 (31.1%), and 56 (23.2%) patients, respectively. Cyst excision with Roux-en-Y hepaticojejunostomy was performed in 339 (98.8%) of 343 patients in the first national survey and 240 (99.6%) of 241 patients in the second national survey.
Conclusion
These national surveys provide current status, general information, and comprehensive treatment and outcomes for pediatric patients with choledochal cysts in Korea. This study could provide significant knowledge and reference for pediatric surgeons seeking to better understand choledochal cysts and treatment options for this disease.

Keyword

Choledochal cyst; Children; Survey