Gross E, Katz S, Abu-Dalu K, Schiller M
Dept. of Pediatric Surgery, Hadassah-University Hospital, Jerusalem.
Harefuah. 1994 Nov 15;127(10):376-8, 431.
Our experience with 11 cases of cystic dilation of the biliary tract is reported. 10 children with choledochal cyst were treated by cystduodenostomy (5 cases) and excision of the cyst with hepaticojejunostomy (5 cases). 1 patient who presented with Caroli's disease was not operated. At long term follow-up, all patients except 1 are asymptomatic. A 16-year-old girl who presented with acute pancreatitis 13 years following cystduodenostomy, early in our experience, underwent excision of the choledochal cyst and hepaticojejunostomy, with uneventful postoperative course. We conclude that in the era of modern imaging, accurate preoperative diagnosis may contribute to better planning and outcome of the surgical treatment of these relatively rare congenital biliary anomalies.
本文报告了我们对11例胆道囊性扩张病例的治疗经验。10例胆总管囊肿患儿接受了囊肿十二指肠吻合术（5例）和囊肿切除肝管空肠吻合术（5例）。1例卡罗利病患者未接受手术治疗。在长期随访中，除1例外，所有患者均无症状。一名16岁女孩在我们早期的经验中，于囊肿十二指肠吻合术后13年出现急性胰腺炎，接受了胆总管囊肿切除和肝管空肠吻合术，术后恢复顺利。我们得出结论，在现代影像学时代，准确的术前诊断有助于更好地规划和实施这些相对罕见的先天性胆道畸形的手术治疗，并改善治疗效果。
