Bairov G A, Shamis A Ia, Aliev B O
Vestn Khir Im I I Grek. 1978 Mar;120(3):96-100.
By now the world literature counts 955 observations on congenital cystic enlargement of the common bile duct. The authors add 14 own observations of this rather rare pathology. Preoperative diagnosis is still difficult. The intravenous cholegraphy remains the best diagnostic procedure. The choledochocystoduodenostomy is justified by its usefulness and is the most frequently used. The late results of the treatment are good. An unfavourable prognosis is present only in cases with preoperative chronic hepatitis, cholangitis or pancreatitis, as these diseases are likely to aggravate later on.
目前,世界文献中关于先天性胆总管囊肿的观察记录有955例。作者补充了14例自己对这种相当罕见病症的观察结果。术前诊断仍然困难。静脉胆管造影仍是最佳诊断方法。胆总管囊肿十二指肠吻合术因其有效性而合理,且是最常用的术式。治疗的远期效果良好。仅在术前患有慢性肝炎、胆管炎或胰腺炎的病例中预后不良,因为这些疾病日后可能会加重。