An NSQIP survey of outcomes after resection of choledochal cysts in adults

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To the Editor:rnCholedochal cysts, now generally termed biliary cysts to include intrahepatic cysts, are a rare lesion with unknown incidence [1] . These cysts more often affect females than males (4:1) [2] . Of- ten associated with the pediatric population of congenital etiology, some series have found adults equally affected [3] . Classification of biliary cysts follows the Todani classification with six groups [4] . This has allowed physicians to consider treatment according to their type.
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Choledochal cysts (CCs), first described by Vater and Ezler in 1723, are rare congenital cystic dilations of biliary tract [1] . The most widely adopted classification system from Todani et al. di- vides CCs into five major types and several subtypes [2]
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