頁籤選單縮合
題名 | Cystic Dilatation of Bile Duct Diagnosis and Excision in Young Patients=小兒膽管囊腫的診斷與切除治療 |
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作者 | 王惠暢; 魏拙夫; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19880500 |
卷期 | 21:3 1988.05[民77.05] |
頁次 | 頁309-317 |
分類號 | 417.6246 |
語文 | eng |
關鍵詞 | 小兒膽管囊腫; |
中文摘要 | 台北榮民總醫院自民國69年元月至76年2月間,共連續治療12位十四歲以下的胆管囊腫患者。利用超音波檢查,這些患者皆能於手術前使得到正確的診斷,所以超音波檢查可說是小兒胆管囊腫的最佳初步診斷工具。 12位患者全接受囊腫切除併Roux-Y型總肝管空腸吻合手術,而術後有併發症的有四例,皆為遲延性傷口滲液,其中一例必須再度手術放引流管改善,但四位患者都漸痊癒出院;於術後追踪檢查期間(平均四十四個月),沒有任何與囊腫相關的疾病再發,更沒有死亡病例。這些治療的經驗,再次應證囊腫的切除併Roux-Y型總胆管空腸吻合術是治療胆管囊腫的標準療法。 惟對於IV-A型中肝內與肝外囊腫連接處狹窄的胆管囊腫患者,施行肝門腸道吻合術及肝內囊腫部分切除術,似乎更能紓解鬱績的肝內胆汁及預肪次發性肝病變,這點需更多的病例和較長的追踪檢查才能澄清。 |
英文摘要 | The diagnostic methods and surgical treatment of 12 consecutive children with choledochal cyst are evaluated; all were treated in Veterans General Hospital, Taipei since 1980. Ultrasonography, which successfully diagnosed choledochal cyst preoperatively in every case, is recommended as the best initial modality of investigation for peditric patients. Cyst excision with Roux-Y hepaticojejunostomy was performed in all of the children. Prolonged drainage in four patients was the only postoperative complication. No cyst-related morbidity or mortality has been noted during follow-up (average 44 months). The conclusion is that excision of choledochal cyst and establishment of biIe drainage by Roux-Y hepaticojejunostomy is the treatment of choice for choledochal cyst. As to surgical treament of type IV-A cyst with narrow common hepatic duct, hepaticoenterostomy at the porta hepatis with partial resection of the intrahepatic cyst, combined with total excision of extrahepatic cyst, seems to be more effective. Further experience and study are needed to resolve the controversy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。