CAJ | 학술논문

本文系自1968年以来我们对先天性胆总管囊肿75例手术治疗的回顾分析及随访结果.我们认为常规的囊肿切除肝管空肠Roux-y吻合仍不免有逆行感染发生,自应用囊肿切除、空肠间置、肝管十二指肠吻合及矩形瓣防返流术以采无重大合并症发生,近期效果理想且合乎生理是最大优点.
본문계자1968년이래아문대선천성담총관낭종75례수술치료적회고분석급수방결과.아문인위상규적낭종절제간관공장Roux-y문합잉불면유역행감염발생,자응용낭종절제、공장간치、간관십이지장문합급구형판방반류술이채무중대합병증발생,근기효과이상차합호생리시최대우점.
Seventy-five children admitted with choledochal cyst since 1968 to 1986 are reviewed. Choledochal direct cysto-jejunostomy by Roux-Y procedure was performed on 24 children (32%), direct cystoduodenostomy on 14 (18.7%), excision of choledochal cyst plus Roux-Y hepaticojejunostomy on 21(28%), hepaticoduodenostomy on 2(2.7%), plus hepatico-jejunostomy with side to side jejunal anastomosis, on 1(1.3%), plus short jejunal interposition hepatico-duodenal with spure valve on 10(13.3%). simpie external drainage of the cyst on 3(40%). The overall operative mortality was 7/75(8.8%). The follow-up results of 10 patients treated with cyst excision plus short jejunal interposltion hepaticoduodenal oridge and spure valve for, antireflux were successful and free of retrograde cholangitis. The Procedure although complicated, has no remakable technical difficulties and can be well tolerated by all children.