先天性胆总管囊肿合并副肝管的诊断和处理

Diagnosis and management of congenital choledochal cyst plus accessory hepatic duct

副肝管是临床上比较少见的胆道变异,虽然胆总管囊肿合并副肝管发生率并不高,但不合理的处理往往会导致术后并发症,因此临床上需要特别重视。随着腹腔镜技术的进步,腹腔镜下可以很好的完成副肝管成型,并且其微创优势更加明显。笔者旨在结合自身临床经验,对先天性胆总管囊肿合并副肝管的诊断和处理提出自己的观点和思考。

The parahepatic duct is a rare biliary tract mutation in clinical practice. Although the incidence of cholangiocarcinoma with parahepatic duct is not high, unreasonable treatment often leads to postoperative complications, so it needs special attention in clinical practice. With the advancement of laparoscopic techniques, laparoscopic can be used to complete the formation of the accessory hepatic duct, and its minimally invasive advantage is more obvious. The author aims to combine his clinical experience to present his own views and thoughts on the diagnosis and management of congenital choledochal cyst combined with the accessory hepatic duct.