Weyant M J, Maluccio M A, Bertagnolli M M, Daly J M
The Department of Surgery, The New York Hospital-Cornell Medical Center, New York, USA.
Am J Gastroenterol. 1998 Dec;93(12):2580-3. doi: 10.1111/j.1572-0241.1998.00633.x.
A choledocal cyst is a dilation of some component of the biliary tract that may include both intra- and extra-hepatic sites. They are classified into six types, all of which are relatively rare. Previously, choledochal cysts were treated with biliary-enteric bypass procedures. The current recommendation is to attempt complete excision to minimize the known risk of malignancy and the development of recurrent cholangitis or pancreatitis that may occur in patients with these cystic lesions. Two cases are discussed in which type I choledochal cysts presented. One was removed from a 31-yr-old man who presented with vague abdominal complaints the other from a 32-yr-old man who presented with pancreatitis. The epidemiology, diagnosis, surgical treatment, and risk of cancer in choledochal cysts is described.
胆总管囊肿是胆道某一部分的扩张，可累及肝内和肝外部位。它们分为六种类型，所有类型都相对罕见。以前，胆总管囊肿采用胆肠旁路手术治疗。目前的建议是尝试完整切除，以将已知的恶性肿瘤风险以及这些囊性病变患者可能发生的复发性胆管炎或胰腺炎的风险降至最低。本文讨论了两例I型胆总管囊肿病例。一例来自一名31岁男性，表现为腹部隐痛；另一例来自一名32岁男性，表现为胰腺炎。本文描述了胆总管囊肿的流行病学、诊断、手术治疗及癌症风险。
