Relationship between canceration and primary operation mode for congenital choledochal cyst
- VernacularTitle:先天性胆管囊肿癌变与首次手术术式的关系探讨
- Author:
Kaishan TAO
;
Kefeng DOU
;
Kaizong LI
;
Zhiqing GAO
;
Youchi FU
;
Qingchuan ZHAO
- Publication Type:Journal Article
- Keywords:
BILE DUCT NEOPLASMS/congen;
CYSTS/congen
- From:
Chinese Journal of General Surgery
2001;10(1):18-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between canceration and primary operation mode for congenital choledochal cysts(CCC). Methods The clinical data of 21 patients with CCC treated in the last 30 years were analysed retrospectively. Results In this series, the incidence of carcinoma was 14.8%; the canceration rate after internal drainage operation was significantly higher than that after resection of the cyst(P<0.001); the age of canceration after internal drainage was younger than that of resection of the cyst(P<0.01) and patients without operation(P<0.01); the interval time of canceration after internal drainage operation was significantly less than that of resection of the cyst(P<0.01); the age of carcinoma would be 15.4 years younger in internal drainage operation patients than that in patients without operation. Conclusions Internal drainage, which could accelerate the occurrence of canceration of CCC, should be abandoned; resection of the cyst is recommended as the therapy of the first choice.
