Duh Y C, Lai H S, Chen W J
Department of Surgery, National Taiwan University Hospital, Taipei, R.O.C.
Pediatr Surg Int. 1997;12(1):54-6. doi: 10.1007/BF01194803.
This case report describes an accessory hepatic duct (AHD) identified by intraoperative cholangiography during excisional surgery of a choledochal cyst (CC). The accessory duct was divided and reconstructed successfully to the Roux-en-Y jejunal loop. The postoperative course was uneventful, and follow-up abdominal sonography revealed neither evidence of biliary tract obstruction nor atrophic changes of the liver. It is advocated that an AHD should be meticulously reconstructed if it is divided during excisional surgery of a CC.
本病例报告描述了在胆总管囊肿（CC）切除手术中通过术中胆管造影发现的一条副肝管（AHD）。该副肝管被切断并成功重建至Roux-en-Y空肠袢。术后过程顺利，腹部超声随访未发现胆道梗阻迹象或肝脏萎缩性改变。提倡在CC切除手术中若副肝管被切断应进行精细重建。
