Chaudhary A, Dhar P, Sachdev A, Kumar N, Vij J C, Sarin S K, Broor S L, Sharma S S
Department of Gastrointestinal Surgery and Gastroenterology, Gobind Ballabh Pant Hospital, New Delhi, India.
Br J Surg. 1996 Feb;83(2):186-8.
Choledochal cysts in children and adults may behave differently. To identify these differences the records of 49 patients (22 children and 27 adults) who underwent surgery for choledochal cysts over a period of 7 years were analysed retrospectively. In two adult patients who had undergone a previous cholecystectomy an acquired malformation could not be excluded. Cholangitis was more common in adults. Choledochal cysts in children were predominantly Type I cystic lesions, whereas Type IV cysts were more common in adult patients. Anomalies of the pancreatic duct and associated hepatobiliary problems were seen exclusively in adults and the latter can make excision of the cyst more difficult and complicated. To prevent the development of complications choledochal cysts should be excised as soon as they are detected.
儿童和成人的胆总管囊肿表现可能不同。为了明确这些差异，我们回顾性分析了7年间49例接受胆总管囊肿手术患者（22例儿童和27例成人）的记录。在2例曾接受过胆囊切除术的成年患者中，不能排除后天性畸形。胆管炎在成人中更为常见。儿童胆总管囊肿主要为I型囊性病变，而IV型囊肿在成年患者中更为常见。胰腺导管异常及相关肝胆问题仅见于成人，后者会使囊肿切除更加困难和复杂。为防止并发症的发生，一旦发现胆总管囊肿应尽早切除。
