Modern surgical treatments for congenital choledochal cysts complicated with anomalous junction of pancreaticobiliary ductal system: an analysis of 30 cases
- VernacularTitle:从先天性胆总管囊肿手术历史演变探讨合并胰胆管合流异常的CCC现代外科治疗(附30例分析)
- Author:
Qing LIN
;
Fulai CHEN
;
Zhixia LI
- Publication Type:Journal Article
- Keywords:
Congenital choledochal cyst;
Anomalous junction of pancreaticobiliary ductal system;
Pancreaticobiliary shun
- From:
Chinese Journal of Hepatobiliary Surgery
1998;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the modern surgical treatments for congenital choledochal cysts complicated with anomalous junction of pancreaticobiliary ductal system through analyzing data in 30 cases. Methods The 30 cases were diagnosed with ERCP, MRCP, cholangiography or dissection, respectively. Then 28 of them were treated with external drainage (n=2), internal drainage (n=9) and Roux-en-Y hepaticojejunostomy (n=22), respectively. Of the 28, 5 received operations twice. Results External drainage was helpful in emergency cases while internal drainage frequently resulted in recurrent cholangitis, choledocholith, anastomotic stenosis or cyst malignancy that needed to be operated on again. Choledochocyst resection and pancreaticobiliary shunt achieved satisfactory results. Conclusions Congenital choledochal cyst is usually complicated with anomalous junction of pancreaticobiliary ductal system (88.2%). As for its treatment, choledochocyst resection, pancreaticobiliary shunt and hepaticojejunostomy should be of the first choice.
