先天性胆管囊肿的外科治疗（附131例分析）

Surgical management of congenital choledochal cysts.

本文报告先天性胆管囊肿１３１例，其中Ⅰ型８９例，Ⅱ型２例，Ⅲ型４例，ＩＶ．型２５例，Ｖ型１１例。１１９例施行手术治疗。作者认为：对先天性胆管囊肿的手术治疗，首次手术时应尽可能切除肝外胆管囊肿，有困难时可大部切除，行高位大口胆肠吻合。对局限于肝段或一侧肝叶的胆管囊肿，可行肝段或一侧肝叶切除。对左右肝叶均有胆管囊肿者，可切除病变较重的肝叶或部分肝组织，解除主要肝管的狭窄与扩张，行肝管空肠吻合术。

total of 131 patients with congenital choledochalcasts treated at our department between the Janunaryo f 1977 and the May of 1995 were reviewed: therewere 89 type i, 2 type , 4 type,, 25 type . and11 type V according to the classification of Todani. Itwas considered that we must pay great attention to thechoice of equitable operation pattern in primary surgical therapy. The cyst of extrahepatic bile ducts shouldbe excised as far as possible, or resected partially onthe condition of impossible complete excision, withhepaticojejunostomy. The resection of hepatic segments and a side of hepatic lobe can be taken for patients with intrahepatic bile duct dilation which onlyconfine there j For patients with both right and left intrahepatic bile duct dilation, the segment or partialhepatic lobe involved seriously can be excised to remove the main dilation and stricture of intrahepaticbile ducts, with hepaticojejunostomy.