The series of 30 adult patients with choledochal cysts by Dr Liu and his coauthors is an important contribution to the literature regarding the natural course of this disease. At their referral center, they identified biliary malignancy in 9 (30%) of 30 patients. Most important, none of these 9patients was cured. Five were not candidates for potentially curative resection at the time of presentation, and the 4 patients treated by pancreatoduodenectomy died 5 to 38 months after operation.
Stain SC. Choledochal Cysts in Adults—Invited Critique. Arch Surg. 2002;137(4):468. doi:10.1001/archsurg.137.4.468