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[局限性卡罗利病的肝切除术]

[Hepatic resection in localized Caroli disease].

作者信息

Espinoza Ricardo, San Martín Sergio, Court Felipe, Vera Emilio, Ferreira Rodrigo, Croxatto Héctor

机构信息

Servicios de Cirugía, Radiología y Anatomía Patológica y Unidad de Endoscopia, Hospital Parroquial de San Bernardo, Facultad de Medicina, Universidad de los Andes.

出版信息

Rev Med Chil. 2003 Feb;131(2):183-9.

Abstract

Caroli disease is a cystic congenital malformation of the intrahepatic biliary tract, frequently associated with lithiasis. Commonly, cystic dilatations are bilateral and infrequently they affect only one hepatic lobule or segment. We report six patients with localized Caroli disease, three in the right and three in the left hepatic lobule, that were subjected to a hepatic resection. There were no postoperative complications or mortality. After 28 months of follow up, patients are asymptomatic and with normal hepatic function and ultrasonography. The importance of diagnosing localized Caroli disease, in which hepatic resection can be curative, is emphasized.

摘要

卡罗利病是一种肝内胆管的囊性先天性畸形,常伴有结石形成。通常,囊性扩张是双侧性的,仅累及一个肝小叶或肝段的情况较少见。我们报告了6例局限性卡罗利病患者,其中3例位于右肝小叶,3例位于左肝小叶,均接受了肝切除术。术后无并发症发生,也无死亡病例。随访28个月后,患者无症状,肝功能及超声检查均正常。强调了诊断局限性卡罗利病的重要性,肝切除术对此病可起到治愈作用。

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