Munkonge L
University Teaching Hospital, Department of Surgery, Lusaka, Zambia.
Cent Afr J Med. 1993 Nov;39(11):224-7.
Choledochal cysts are uncommon in Zambia, but are frequently misdiagnosed and consequently mistreated. It is recommended that anastomotic drainage of the cyst into the duodenum or jejunum should be done as a first stage procedure on severely sick patients seen in rural hospitals, prior to their transfer to major hospitals where definitive procedure such as end to end anastomosis of the common bile duct or Roux-en Y choledochojejunostomy can be performed. Our experience of five cases seen over seven years is reported.
胆总管囊肿在赞比亚并不常见，但经常被误诊，进而接受错误的治疗。建议对于在农村医院就诊的重症患者，在转至能够进行确定性手术（如胆总管端端吻合术或Roux-en Y胆总管空肠吻合术）的大型医院之前，应首先进行囊肿十二指肠或空肠吻合引流术。本文报告了我们在七年中所见到的五例病例的经验。
