Koneru B, Zajko A B, Sher L, Marsh J W, Tzakis A G, Iwatsuki S, Starzl T E
Department of Surgery, University Health Center of Pittsburgh.
Surg Gynecol Obstet. 1989 May;168(5):394-6.
A tension mucocele was created in three hepatic homografts by ligating a low-lying cystic duct during transplant cholecystectomy and by incorporating its outflow end into the anastomosis of the common hepatic duct to the recipient common duct or Roux limb of jejunum. The consequent complication of obstruction of the biliary tract that necessitated reoperation and excision of the mucocele in all three patients can be avoided by the simple expedient of completely removing the cystic duct when feasible or providing egress to the secretion of the cystic duct as described.
通过在移植胆囊切除术中结扎低位胆囊管，并将其流出端纳入肝总管与受体胆总管或空肠 Roux 袢的吻合处，在三个肝同种异体移植中制造了张力性黏液囊肿。通过在可行时简单地完全切除胆囊管或按所述为胆囊管分泌物提供流出通道的权宜之计，可以避免在所有三名患者中出现需要再次手术和切除黏液囊肿的胆道梗阻并发症。
