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在儿童晚期和成年期出现的胆总管囊肿。

Choledochal cysts presenting in late childhood and adulthood.

作者信息

Oldham K T, Hart M J, White T T

出版信息

Am J Surg. 1981 May;141(5):568-71. doi: 10.1016/0002-9610(81)90050-7.

DOI:10.1016/0002-9610(81)90050-7
PMID:7223949
Abstract

Primary excision is well accepted in children. Although the length of follow-up is inadequate, our review of the literature and experience with five patients suggests primary excision as the procedure of choice in older children and adults. Although the number of cases is too small and the follow-up too sporadic to draw statistically valid conclusions, excision has a lower morbidity, mortality and reoperation rate than internal cyst drainage, and definitive removal of tissue at risk for malignant degeneration seems intuitively more appealing.

摘要

一期切除在儿童中已被广泛接受。尽管随访时间不足,但我们对文献的回顾以及对五例患者的经验表明,一期切除是大龄儿童和成人的首选治疗方法。虽然病例数量太少且随访过于零散,无法得出具有统计学意义的有效结论,但与囊肿内引流相比,切除具有更低的发病率、死亡率和再次手术率,并且直观上更倾向于彻底切除有恶性变风险的组织。

相似文献

1
Choledochal cysts presenting in late childhood and adulthood.在儿童晚期和成年期出现的胆总管囊肿。
Am J Surg. 1981 May;141(5):568-71. doi: 10.1016/0002-9610(81)90050-7.
2
Surgical management of choledochal cysts: a review of 60 cases.胆总管囊肿的外科治疗:60例病例回顾
J Pediatr Surg. 1985 Aug;20(4):443-8. doi: 10.1016/s0022-3468(85)80238-4.
3
Choledochal cyst: a 33-year review.胆总管囊肿:33年回顾
Br J Surg. 1988 Aug;75(8):799-801. doi: 10.1002/bjs.1800750826.
4
Treatment of choledochal cyst by excision.胆总管囊肿切除术治疗
J Pediatr Surg. 1980 Aug;15(4):437-42. doi: 10.1016/s0022-3468(80)80750-0.
5
[Surgical treatment of choledochal cysts in children].[儿童胆总管囊肿的外科治疗]
Vestn Khir Im I I Grek. 1984 Mar;132(3):54-8.
6
Hepatico-jejuno-duodenostomy reconstruction following excision of choledochal cysts in children.儿童胆总管囊肿切除术后肝-空肠-十二指肠吻合术重建
Am Surg. 1989 Jan;55(1):2-6.
7
Choledochal cysts: results of primary surgery and need for reoperation in young patients.胆总管囊肿:年轻患者一期手术的结果及再次手术的必要性
Am J Surg. 1985 Jul;150(1):141-6. doi: 10.1016/0002-9610(85)90023-6.
8
Jejunal interposition hepaticoduodenostomy for choledochal cyst.用于胆总管囊肿的空肠间置肝十二指肠吻合术
Am J Gastroenterol. 1987 Oct;82(10):1042-5.
9
Choledochal cyst.胆总管囊肿
Surg Gynecol Obstet. 1978 Sep;147(3):444-52.
10
A case of carcinoma arising in the intrapancreatic terminal choledochus 12 years after primary excision of a giant choledochal cyst.1例在巨大胆总管囊肿初次切除术后12年发生于胰内段胆总管的癌。
Am J Gastroenterol. 1986 May;81(5):378-84.

引用本文的文献

1
A new variant of Todani type I choledochal cyst. Imaging evaluation.托达尼I型胆总管囊肿的一种新变体。影像学评估。
Hippokratia. 2011 Apr;15(2):174-7.
2
Biliary peritonitis due to choledochal cyst presenting in late pregnancy.妊娠晚期胆总管囊肿所致胆汁性腹膜炎
Ulster Med J. 1986 Oct;55(2):190-2.