先天性胆管囊肿再次手术  

REOPERATION FOR CONGENITAL CHOLEDOCHOL CYSTS

作　　者：李庆怀[1] 张德洪[1] 曹嘉华[1] 罗昆仑 

机构地区：[1]兰州解放军第一医院肝胆外科

出　　处：《中国普通外科杂志》1994年第1期22-23,共2页China Journal of General Surgery

摘　　要：本文报告了１１例先天性胆管囊肿再次手术的体会。再次手术的主要原因有：①术式选择不当；②囊肿肠道吻合口狭窄；③吻合口以上肝胆管结石并狭窄上次手术未作处理；④行内引流术时未切除胆囊。作者认为囊肿切除、Ｒｏｌｉｘ一Ｙ胆肠吻合成空肠间置术是胆管囊肿手术或再次手术的理想术式。胆管囊肿再次手术成功的关键是术前尽可能弄清产生症状的原因，水中应仔细查清病变的特点，尤其不能遗漏肝内胆管病变的处理，并选择合适的手术方式。本组１１例再次手术远期随访１０例，其中９例效果满意。his article reports the authors, experience of reoperation on 11 patients with congenital choledocholcysts. The main indication for reoperation were as follows:①the primary operation was not appropriatefor the disease,②constriction of the performed cystojejunal anastornosis; ③stenosis and stones presentabove the cystojejunal anastomosis which were not found during the primary operation; ④cholecystectomy was not done during the primary internal drainage operalion. So we consider that theoperation of choice for the patient with choledochal cyst is excision of the cyst ith Roux- en- YcholedochojeJunostomy or with choledochoduedenostomy with interposed jejunal loop. The key step ofreoperation is to determine the.exact etiological factor (s) preoperatively . and completely correct thefactor (s) ,especially intrahcpatic disorder which was not be managed during primary surgery. In thisseries, 9 of 11 patients have had successful results at followed up with an average of 41 months.

关 键 词：先天性 胆管囊肿 外科手术 囊肿 

分 类 号：R735.805[医药卫生—肿瘤]