TYPE-IVA CHOLEDOCHAL CYSTS - SURGICAL-MANAGEMENT AND LITERATURE-REVIEW

被引:8
作者
DORAI, CRT
VISVANATHAN, R
MCALL, GLG
机构
[1] Department of Surgery, Hospital University Sains Malaysia, Kelantan
来源
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1991年 / 61卷 / 07期
关键词
CHOLEDOCHAL CYSTS; EXCISION; TYPES;
D O I
10.1111/j.1445-2197.1991.tb00278.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Type IVa choledochal cysts with cylindrical dilatation of the intrahepatic ducts constitute a relatively less recognized variety of choledochal cysts, and differ from cystic dilation of intrahepatic ducts in their clinical manifestations and response to treatment. Five patients with type IVa choledochal cysts and cylindrical dilatation of major intrahepatic ducts who underwent cyst excision and Roux-en-Y hepatiocojejunostomy are reported. The duration of symptoms was less than 1 year in all patients. Palpable abdominal mass and abdominal pain were present in 3 patients. The triad of jaundice, abdominal pain and mass was present in only 1 patient. The intrahepatic dilatation regressed after excision of the extrahepatic cyst just below the hilum of the liver. The surgical technique is described and the need for excision of the cyst is emphasized.
引用
收藏
页码:505 / 510
页数:6
相关论文
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