Khandelwal Chiranjiva, Anand Utpal, Kumar Bindey, Priyadarshi Rajeev N
Bihar Institute of Gastroenterology, Patna, India.
Indian J Surg. 2012 Feb;74(1):29-34. doi: 10.1007/s12262-011-0388-1. Epub 2011 Dec 10.
Choledochal cysts are rare disease and of unknown etiology. They are typically a surgical problem of infancy and childhood, but in nearly 20% of the patients the diagnosis is delayed until adulthood. The presentation and therapeutic strategies for choledochal cysts in adult may differ from that of childhood. The surgical management of choledochal cysts in adults is complicated by associated hepatobiliary pathology. Despite the absence of clinical trials, a consensus for the management of choledochal cysts is excision. This review examines the spectrum of hepatobiliary pathology encountered with choledochal cysts and the surgical alternatives for managing choledochal cysts based on review of relevant literature in the English language indexed on MEDLINE.
胆管囊肿是一种罕见疾病,病因不明。它们通常是婴幼儿期和儿童期的外科问题,但近20%的患者直到成年才被诊断出来。成人胆管囊肿的表现和治疗策略可能与儿童不同。成人胆管囊肿的外科治疗因相关肝胆病变而复杂化。尽管缺乏临床试验,但胆管囊肿治疗的共识是切除。本综述根据MEDLINE索引的英文相关文献回顾,探讨了胆管囊肿所涉及的肝胆病变范围以及胆管囊肿的手术治疗选择。