小儿巨大胆总管囊肿11例手术体会

Surgical Experiences of Large Choledochal Cyst in Children

目的总结小儿先天性巨大胆总管囊肿的外科手术治疗经验。方法对11例先天性巨大胆总管囊肿患儿施行胆囊切除、胆总管囊肿切除术、肝管夺肠Roux—en—Y型吻合术。结果术后均痊愈出院，10例获随访3～12个月，未见胆道感染、黄疸、营养不良等并发症出现。结论常规术中胆道造影，完全地切除囊肿，合理地处理囊肿远近端胆管异常是巨大胆总管囊肿手术成功的关键。

Objective To summarize the surgical experiences of large choledochal cyst in chihlren. Methods Data of 11 children with large choledochal cyst were analyzed retrospectively. All the patients underwent choledoehocystectomy, cholecystectomy and Roux-en-Y cholangiojejunostomy. Results All the cases recovered well postoperatively. During 3 to 12 mouths follow-up, no complication such as biliary duct inlettion, jaundice or malnulrition occurred. Conclusion h is the key poinl for large choledochal cyst in children of routine intraoperative cholangiography, complete resection of the total choledochal cysts, and reasonable treatment of the proximate and distal end.