<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992021000100040</article-id>
<article-id pub-id-type="doi">10.35366/103913</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia en el manejo del quiste de colédoco en un servicio de cirugía general. Reporte de cuatro casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Experience in the management of coledochal cyst in a general surgery service. Report of four cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes-García]]></surname>
<given-names><![CDATA[María Azucena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Bello]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud Hospital General de Acapulco Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[ Guerrero]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>43</volume>
<numero>1</numero>
<fpage>40</fpage>
<lpage>46</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992021000100040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992021000100040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992021000100040&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Los quistes de colédoco son dilataciones de la vía biliar que se presentan principalmente en el sexo femenino durante la infancia, en la etapa adulta se requiere un alto índice de sospecha, sobre todo en hospitales rurales donde no existe la tecnología para diagnosticarlos. El manejo puede ser por abordaje endoscópico o quirúrgico, dependiendo de la clasificación del quiste. Está bien determinado que a mayor edad durante el diagnóstico, las posibilidades de malignización también son mayores, reportándose hasta en 30%. Se incluyeron cuatro pacientes mujeres entre 14 y 43 años. A tres no se les realizó el diagnóstico de quiste de colédoco de primera intención, siendo diagnosticadas como quiste hepático, colecistitis aguda y estenosis de la vía biliar. El síntoma principal fue dolor abdominal, sólo una de ellas mostró ictericia y masa palpable. Tres presentaron quiste tipo I y la otra tipo IV A. A todas se les realizó cirugía abierta con resección del quiste y hepatoyeyunoanastomosis en Y de Roux. No hubo complicaciones postoperatorias. El estudio histopatológico fue negativo a malignidad en todos los casos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The choledochal cysts are dilatations of the bile duct that occur mainly in females during childhood, in the adult stage a high index of suspicion is required, especially in rural hospitals where there is no technology to diagnose them. The management can be by endoscopic or surgical approach depending on the classification of the cyst. It is well established that, at an older age during diagnosis, the chances of malignancy are also higher, with up to 30% being reported. Four female patients between 14 and 43 years were included. Three patients were not diagnosed with choledochal cyst of first intention, being diagnosed as hepatic cyst, acute cholecystitis and stenosis of the bile duct. The main symptom was abdominal pain and only one of them had jaundice and palpable mass. Three had type I cyst and one type IV A. All underwent open surgery with resection of the cyst and hepatojejun anastomosis in Roux&#8217;s Y. There were no postoperative complications. The histopathological study was negative to malignancy in all cases.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Quiste]]></kwd>
<kwd lng="es"><![CDATA[colédoco]]></kwd>
<kwd lng="es"><![CDATA[adulto]]></kwd>
<kwd lng="en"><![CDATA[Cyst]]></kwd>
<kwd lng="en"><![CDATA[bile duct]]></kwd>
<kwd lng="en"><![CDATA[adult]]></kwd>
</kwd-group>
</article-meta>
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