Kang Chang Moo, Lee Kwang Hoon, Kim Dong Hyun, Lee Woo Jung
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Surg Laparosc Endosc Percutan Tech. 2008 Dec;18(6):598-600. doi: 10.1097/SLE.0b013e31818096a0.
Perforated choledochal cysts are rare. Traditionally, they have been managed by primary T-tube choledochostomy and interval cystectomy with hepaticojejunostomy. We present here our recent experience with a case of perforated choledochal cyst, which was managed with preoperative percutaneous transhepatic cyst drainage, followed by definite surgery for choledochal cyst, cyst excision, and reconstruction with Roux-en-y hepaticojejunostomy. Preoperative percutaneous cyst drainage seems to be useful and effective in managing complicated choledochal cysts. The procedure garners time for patients' general condition and laboratory findings to improve to the extent that general surgery can be performed.
穿孔性胆总管囊肿很罕见。传统上，其治疗方法是一期T管胆总管造口术以及间隔期囊肿切除术加肝管空肠吻合术。我们在此介绍我们近期处理一例穿孔性胆总管囊肿的经验，该病例先进行了术前经皮经肝胆囊肿引流，随后进行了胆总管囊肿的确定性手术、囊肿切除以及Roux-en-y肝管空肠吻合术重建。术前经皮囊肿引流在处理复杂胆总管囊肿方面似乎是有用且有效的。该操作能为患者的一般状况和实验室检查结果改善争取时间，以便能够进行普外科手术。
