<?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>S1405-00992024000100073</article-id>
<article-id pub-id-type="doi">10.35366/117372</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Quiste de colédoco tipo IVA basado en la clasificación de Todani]]></article-title>
<article-title xml:lang="en"><![CDATA[Choledochal cyst type IVA based on Todani&#8217;s classification]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ocampo González]]></surname>
<given-names><![CDATA[Saúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Partida]]></surname>
<given-names><![CDATA[José Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pozo]]></surname>
<given-names><![CDATA[Sergio Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ocampo Barro]]></surname>
<given-names><![CDATA[Salvador Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rea Vázquez]]></surname>
<given-names><![CDATA[Ivana Alexa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuevas Sánchez]]></surname>
<given-names><![CDATA[María Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Civil de Guadalajara Fray Antonio Alcalde  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Civil de Guadalajara Fray Antonio Alcalde  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Civil de Guadalajara Fray Antonio Alcalde  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Civil de Guadalajara Fray Antonio Alcalde  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de Guadalajara  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<volume>46</volume>
<numero>1</numero>
<fpage>73</fpage>
<lpage>80</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992024000100073&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992024000100073&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992024000100073&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Las dilataciones quísticas del colédoco son una anomalía congénita infrecuente que permite el reflujo de bilis, ocasionando la dilatación de las vías biliares en diversas formas. En los últimos cinco años (2018-2022) el servicio de cirugía general del Hospital Civil de Guadalajara Fray Antonio Alcalde atendió un total de 5,886 pacientes entre los cuales se encontraron sólo dos casos de quiste de colédoco (lesiones premalignas), con una tasa de incidencia de 0.03%, presentando una baja frecuencia de esta patología en nuestra región en comparación con naciones occidentales y una incidencia aún más baja en relación a la población asiática. Se presenta el caso de una femenina de 36 años derivada del estado de Hidalgo con una lesión quística biliar, la cual se estadificó como IVA, de acuerdo a la clasificación modificada de Todani, con estudio de colangioresonancia magnética. Previa valoración completa preoperatoria se resecó la lesión quística y se reconstruyó la vía biliar con asas de yeyuno en Y de Roux; evolucionando de forma satisfactoria y siendo dada de alta al octavo día postoperatorio, vista en consulta externa con pruebas funcionales hepáticas y nueva colangioresonancia magnética cuyo reporte resultó completamente normal y con buen drenaje biliar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Common bile duct cystic dilations are a rare congenital anomaly that allow bile reflux, causing dilation of the bile ducts in various ways. In the last five years (2018-2022), the general surgery service of the Fray Antonio Alcalde Civil Hospital of Guadalajara treated a total of 5,886 patients, among whom only two cases of choledochal cyst (premalignant lesions) were found, with a rate of incidence of 0.03%, presenting a low frequency of this pathology in our region in comparison with Western nations, and an even lower incidence in relation to the Asian population. The case is of a 36-year-old female from the state of Hidalgo with a biliary cystic lesion, which was staged as IVa according to the modified classification of Todani with a magnetic resonance cholangiography study. After complete preoperative evaluation, the cystic lesion was resected and the bile duct was reconstructed with jejunal loops in a Roux Y; evolving successfully and being discharged on the eighth postoperative day, and seen in the outpatient clinic with liver function tests and new MRI cholangio resonance reported to be completely normal and with good biliary drainage.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[quiste de colédoco]]></kwd>
<kwd lng="es"><![CDATA[clasificación de Todani]]></kwd>
<kwd lng="es"><![CDATA[colangioresonancia]]></kwd>
<kwd lng="es"><![CDATA[reconstrucción biliar en Y de Roux]]></kwd>
<kwd lng="en"><![CDATA[choledochal cyst]]></kwd>
<kwd lng="en"><![CDATA[Todani&#8217;s classification]]></kwd>
<kwd lng="en"><![CDATA[cholangioresonance]]></kwd>
<kwd lng="en"><![CDATA[Roux-en-Y biliary reconstruction]]></kwd>
</kwd-group>
</article-meta>
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