CHOLEDOCHAL CYST OF THE PROXIMAL COMMON PANCREATICOBILIARY CHANNEL

被引:0
作者
REED, MK [1 ]
WILLIAMS, JE [1 ]
DUBOIS, JJ [1 ]
机构
[1] SGOS 1,MED GRP 60,DEPT SURG,PEDIAT SURG SECT,TRAVIS AFB,CA 94535
关键词
CHOLEDOCHAL CYST; COMMON BILIARY PANCREATIC CHANNEL;
D O I
10.1007/BF00566497
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Choledochal cysts are aptly considered a manifestation of a basic abnormality of the extrahepatic ductal architecture not limited to the areas of cystic dilation. The modified classification system of Alonzo-Lej recognizes five variants by gross morphology. The goal of surgical treatment is generally viewed as biliary decompression and excision of all diseased ductal epithelium. We describe our management of a 22-month-old female with a distinct cystic expansion of the intrapancreatic common duct as well as proximal biliary dilations. Her surgical treatment consisted of excision of the extrahepatic biliary tree proximal to the intrapancreatic cystic portion and roux-en-Y portojejunostomy. This case extends the concept of ''choledochal cyst,'' and stresses the goals of surgical intervention with the importance of follow-up in patients whose particular anatomy prohibits total initial excision.
引用
收藏
页码:553 / 556
页数:4
相关论文
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