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[胆总管囊肿扩张症最初行囊肿空肠吻合术治疗，25年后因感染和结石并发症再次手术]

[Cystic dilatation of the common bile duct initially treated by cystojejunostomy and reoperation 25 years later because of infectious and lithiasic complications].

作者信息

Jouvie J, Descottes B, Valleix D

机构信息

Service de Chirurgie Générale B, C.H.U. Dupuytren, Limoges.

出版信息

J Chir (Paris). 1989 Feb;126(2):85-7.

PMID:2715230
Abstract

A case of cystic dilatation of the common bile duct is reported. Initially treated by Roux-Y cystojejunostomy, twenty five years after, the patient presented a cholecystitis. This patient was treated by cholecystectomy and a few months after by excision of the cyst with Roux-Y hepato-jejunostomy. This attitude is proposed to avoid the complications of the cystic dilatation of the common bile duct: secondary biliary cirrhosis, angiocholitis, and malignant degeneration.

摘要

报告了一例胆总管囊肿扩张病例。最初采用Roux-Y式囊肿空肠吻合术进行治疗，25年后，患者出现胆囊炎。该患者接受了胆囊切除术，几个月后又接受了囊肿切除及Roux-Y式肝空肠吻合术。建议采取这种治疗方式以避免胆总管囊肿扩张的并发症：继发性胆汁性肝硬化、胆管炎和恶变。

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