中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
1984年
4期
201-202
,共2页
Before 1970,21 patients received choledochocystduodenostomy at our department.5 of them suffered from cholagitis with one being reoperated upon.One patient presented upper alimentary haemorrhage after internal drainage of the cyst,which was diagnosed as portal hypertension and treated by splenorenal
shunt.Another had recurrence of jaundice 2 years after operation.Owing to its simplicity and safety,choled
ochocystenterostomy has been advocated as a choice treatment by many surgeons.However,recent reports indicate that it has a higher incidence of complication and reoperation rate.Cyst excision is preferable to traditional internal drainage because it:(1) eliminates a reservoir for bile stasis,(2) removes the mechanism which allows continuous reflux of pancreatic juice into the cyst,and (3) probably eliminates the possibility of bile duct carcinoma.
