Surgical management of congenital choledochal cyst
- VernacularTitle:先天性胆管囊肿的外科治疗及疗效分析
- Author:
Yuehua WANG
;
Yuquan FENG
;
Yongxiong LIU
;
Zhiqiang HUANG
;
Lianmin CUI
;
Ningxin ZHOU
;
Wanqing GU
;
Wenzhi ZHANG
;
Xiaoqian HUANG
- Publication Type:Journal Article
- Keywords:
CHOLEDOCHAL CYST/congen;
CHOLEDOCHAL CYST/sury;
BILIRY TRACT RECONSTRUCTION;
ANASTOMOSIS,ROUX-EN-Y
- From:
Chinese Journal of General Surgery
1993;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the long-term effect of surgical procedures for congenital choledochal cyst (CCC).Methods From 1986 to 2000, 120 cases of CCC were admitted and 73 of them underwent the primary operations in General Hospital of PLA. Three types procedures were performed,type I: external drainage of CCC in 7 cases; type II:cystojejunal Roux-en-Y anastomosis in 5 cases; type III: cyst excision with cystojejunal Roux-en-Y anastomosis or cystoduodenostomy in 57cases,and other procedures in 4 cases.Results 68 cases were followed-up for 6 months to 5 years (median 2.7 years). Three cases undergoing type I operations accepted reoperations;two cases undergoing type II operations accepted reoperations due to severe complications as cholongitis and hepatolithiasis; 57 cases treated by type III operation with the good results 88.7% and none reoperation.Conclusions External drainage is only a first-aid management on emergency basis. Internal drainage should never be done,because the effect is temporary,and severe complications result in reoperations. Cyst excision with biliary tract reconstruction is recommended as the optimal treatment of CCC.
