改进外科治疗策略规避Ⅰ型和Ⅳ型先天性胆管囊肿术后并发症  

Improving surgical therapeutic strategies to circumvent postoperative complications of type Ⅰ and Ⅳ congenital choledochal cysts

作　　者：李斌[1] 邱智泉[1] 刘辰[1] 罗祥基[1] 易滨[1] 张柏和[1] 于勇[1] 程庆保[1] 冯飞灵[1] 徐畅[1] 姜小清[1] Li Bin Qiu Zhiquan Liu Chen Luo Xiangji Yi Bin Zhang Baihe Yu Yong Cheng Qingbao Feng Feiling Xu Chang Jiang Xiaoqing.(Department of Biliary Tract Surgery, Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University, Shanghai 200438, Chin)

机构地区：[1]第二军医大学东方肝胆外科医院胆道外科第二军医大学胆道恶性肿瘤诊疗中心,上海200438

出　　处：《中华肝胆外科杂志》2016年第12期848-851,共4页Chinese Journal of Hepatobiliary Surgery

摘　　要：【提要】胆管囊状扩张症是胆道外科较为常见的良性胆道畸形疾病。作为其唯一的根治性治疗手段，外科手术的理念和手术技巧，是影响患者预后及生活质量的关键因素。根据胆管囊肿Todani分型，Ⅰ型和Ⅳ型胆管囊肿发病最为常见，如手术处理不良，术后并发症较高，将严重影响患者生活质量及预后。按照疾病特点及Todani分型，改进外科治疗策略，合理设计个体化手术治疗方案，能够有效规避或降低胆管囊状扩张症术后近期及远期并发症的风险。Choledochal cysts is a relatively common be- nign biliary malformation. Surgery is its only radical treatment, and so surgical concept and technique could play a key role in affecting the prognosis and life quality of the patients. According to Todani classification, type Ⅰ and type Ⅳ choledochal cysts are the most common types. Inappropriate surgical operation for choledochal cysts can cause serious postoperative complications and seriously affect the patient＇s life quality and prognosis. By improving surgical strategies and designing reasonably individu- alized surgical treatment according to the characteristics of the disease and the Todani type, the risk of short-term and long-term postoperative complications of choledochal cysts can be effectively avoided or reduced.

关 键 词：胆管囊肿 Todani分型 并发症 外科策略 计划性肝切除 

分 类 号：R657.4[医药卫生—外科学]