Vallent K, Vadon G, Szebeni A, Papp J, Jánossa M
Chirurg. 1982 Mar;53(3):131-6.
The authors report a successful hepatolobectomy of Caroli's disease (segmentally dilatated intrahepatic bile ducts). They also give a survey of congenital and acquired bile duct dilatations, with a view to differential diagnosis and medical treatment. When Caroli's disease is suspected, echography and ERCP can be a valuable diagnostic aid. The definitive cure i. e. the elimination of the anatomical basis of recidive cholangitis, can only be achieved by the resection of the liver containing the dilated intrahepatic bile ducts. Postoperative administration of antibiotics and anticholelithic drugs can help the liver to full recovery.
作者报告了一例成功的卡罗利病（节段性肝内胆管扩张）肝叶切除术。他们还对先天性和后天性胆管扩张进行了综述，以利于鉴别诊断和药物治疗。当怀疑患有卡罗利病时，超声检查和内镜逆行胰胆管造影（ERCP）可能是有价值的诊断辅助手段。根治方法，即消除复发性胆管炎的解剖学基础，只能通过切除包含扩张肝内胆管的肝脏来实现。术后使用抗生素和利胆药物有助于肝脏完全恢复。
