From the review of the literature it would seem that excision as the most appropriate method of treatment is generally preferred to the internal drainage procedures. Despite the strong arguments in favor of primary excision, approximately two-thirds of patients undergoing Rouxen-Y choledochocystojejunostomy experience excellent results in both the short and long term follow-up periods. There is much to be said for recommending the Roux-en-Y choledochocystojejunostomy as the primary method of treatment of choledochal cysts, especially when the procedure is undertaken by inexperienced surgeons, and to reserve excision for those patients who have complications.
从文献回顾来看，似乎作为最恰当治疗方法的切除术通常比内引流手术更受青睐。尽管有强有力的论据支持一期切除，但接受Roux-en-Y胆总管囊肿空肠吻合术的患者中，约三分之二在短期和长期随访期都有极佳的效果。推荐将Roux-en-Y胆总管囊肿空肠吻合术作为胆总管囊肿的主要治疗方法有诸多理由，尤其是当该手术由经验不足的外科医生实施时，而将切除术保留给那些有并发症的患者。
