Garcia-Gallont R, Pichlmayr R
Langenbecks Arch Chir. 1984;363(1):31-41. doi: 10.1007/BF01255775.
Today the main problem of bile duct cysts is based on their optimal therapy. Conservative approaches only are fit for single selected cases because of the complications and lethality rate inherent to these methods. The usual operative treatment with internal derivation of the cyst by diversion to an intestinal loop does not take account the nowadays well documented risk of development of cancer in the cyst's tissue, mainly in the adult patient. The modern classification according to Todani et al. [14] offers the possibility for a selective approach with regard to the local anatomic-pathological relations found in the intrahepatic as well as in the extrahepatic biliary tree in such patients. The problems of the clinical picture, diagnosis and therapy are discussed on the basis of 6 cases seen at our centre.
如今，胆管囊肿的主要问题在于其最佳治疗方法。由于保守治疗方法存在固有的并发症和致死率，所以仅适用于个别特定病例。通过将囊肿引流至肠袢进行内引流的常规手术治疗，未考虑到如今已有充分文献记载的囊肿组织（主要是成年患者）发生癌变的风险。根据户谷等[14]提出的现代分类方法，针对此类患者肝内及肝外胆管树中发现的局部解剖 - 病理关系，有可能采取选择性治疗方法。本文基于我们中心收治的6例病例，讨论了临床表现、诊断及治疗方面的问题。
