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.
出处
《中国普通外科杂志》
CAS
CSCD
1994年第1期22-23,共2页
China Journal of General Surgery
