Kullendorff C M
Department of Paediatric Surgery, University Hospital, Lund, Sweden.
Ann Chir Gynaecol. 1994;83(3):261-4.
During a two years period, four children were operated on because of choledochal cysts. All four patients were girls aged 9, 9, 8 and 6 years at operation. The symptoms at presentation were mainly episodic abdominal pain, mild jaundice and tenderness under the right costal curvature. Ultrasonography of the biliary tract revealed a cystic dilatation of the choledochus. Endoscopic retrograde cholangiopancreatography (ERCP) confirmed the cystic dilatation and, importantly, delineated the junction of the pancreatic duct. The surgical procedure in all four patients consisted of complete excision of the choledochal cyst and extrahepatic biliary tree combined with a Roux-en-Y hepaticojejunostomy. The postoperative course of all patients was uneventful. Ultrasonography of the abdomen should be performed liberally in case of biliary tract symptoms in children.
在两年期间，有4名儿童因胆总管囊肿接受了手术。所有4例患者均为女孩，手术时年龄分别为9岁、9岁、8岁和6岁。就诊时的症状主要为间歇性腹痛、轻度黄疸和右肋弓下压痛。胆道超声检查显示胆总管呈囊性扩张。内镜逆行胰胆管造影（ERCP）证实了囊性扩张，重要的是，明确了胰管的汇合处。所有4例患者的手术步骤均包括完整切除胆总管囊肿和肝外胆管树，并进行Roux-en-Y肝空肠吻合术。所有患者术后恢复顺利。对于有胆道症状的儿童，应广泛进行腹部超声检查。
