کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4282361 1611706 2006 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Les dilatations kystiques congénitales des voies biliaires
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Les dilatations kystiques congénitales des voies biliaires
چکیده انگلیسی
Congenital cystic dilatation of bile ducts is a rare condition. We report a retrospective study about 18 patients having congenital bile duct cysts. According to Todani's classification, 11 cases were type I and 7 were type V. Six patients from the first group had a pancreatobiliary maljunction. A total resection of the cyst was conducted in the type I cysts. Anatomopathologic examination showed an adenocarcinoma of a common bile duct cyst. In one case, a cancer of the gall bladder associated to a common bile duct cyst in another case. Three patients with segmental dilatation of intrahepatic bile ducts (type V) underwent liver resection. Four patients had a diffuse form, one of them was treated by percutaneous drainage, and in the other cases a hepatojejunostomy was performed. Postoperative course was complicated with acute cholangitis in these four cases. Percutaneous drainage and antibiotics allowed a positive outcome in most of the cases. In one case, secondary biliary cirrhosis occurred as a long-term complication. Congenital cystic dilatation of bile ducts is considered to be a precancer state. Enterocystic anastomosis is proscribed and the resection has to be as complete as possible.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annales de Chirurgie - Volume 131, Issues 6–7, July–August 2006, Pages 369-374
نویسندگان
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