Choledochal cysts are rare disease and of unknown etiology. They are typically a surgical problem of infancy and childhood, but in nearly 20% of the patients the diagnosis is delayed until adulthood. The presentation and therapeutic strategies for choledochal cysts in adult may differ from that of childhood. The surgical management of choledochal cysts in adults is complicated by associated hepatobiliary pathology. Despite the absence of clinical trials, a consensus for the management of choledochal cysts is excision. This review examines the spectrum of hepatobiliary pathology encountered with choledochal cysts and the surgical alternatives for managing choledochal cysts based on review of relevant literature in the English language indexed on MEDLINE.
The clinical presentation and surgical management of giant choledochal cysts differ from their smaller counterparts. Diagnostic dilemma was common with giant CDC especially with ultrasound and CT.
It is a great privilege to write a review for a book on Colorectal Surgery edited by Dr. Prabin B. Thapa and Dr. Dhiresh K. Maharjan. The book provides comprehensive information about many aspects of colorectal surgery. It also includes the surgical anatomy and its relevance in total mesorectal excision (TME). Colorectal cancer has been dealt in details including neoadjuvant treatment and laparoscopic surgery. Advanced laparoscopic colorectal surgery and trends in colorectal cancer make the book more important for surgeons working in oncology field. A chapter on 'Peritoneal Carcinomatosis' can be a 'new' topic to learn for many readers. Rectal prolapse is also discussed in details. The authors comprise from Nepal, New Zealand, England, India and Belgium. They have presented the subject in simple words with good flow and included review of literature. Editors must have done hard work to bring out the book. The book does not have chapters on common disease for general surgeons like on haemorrhoids, fistula, fissure, etc. which are found easily in any text book.
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