Management of bile duct cysts in adults.
Management of bile duct cysts in adults.
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成人胆管囊肿的治疗。
DOI：
10.1001/archsurg.1986.01400040046006
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发表时间：
1986
影响因子：
--
通讯作者：
M. Silverman
中科院分区：
文献类型：
--
作者：
D. Deziel;R. Rossi;L. Munson;J. Braasch;M. Silverman
在20年的时间里，在Lahey诊所（Burlington，Mass）就诊的31例胆管囊肿成人患者中，Lahey诊所初始治疗时的中位年龄为34岁。腹痛是最常见的临床症状，其次是黄疸和发热。31例患者共接受了86例胆道手术，其中37例在Lahey诊所进行。内引流是最常见的手术，但它经常导致复发的症状，需要再次手术。囊肿切除术与复发性胆管炎和再次手术的发生率显著降低相关，与手术死亡率增加无关。胆囊疾病常合并其他肝胆疾病。我们的5名患者（16%）发生了胆道癌，7名患者（22%）发生了胆道相关疾病的晚期死亡。如果技术上可行，囊肿切除术是治疗的首选。
In 31 adult patients with bile duct cysts seen at the Lahey Clinic (Burlington, Mass) during a 20-year period, the median age at time of initial therapy at Lahey Clinic was 34 years. Abdominal pain was the most common presenting symptom, followed by jaundice and fever. The 31 patients underwent a total of 86 biliary tract procedures, of which 37 were performed at Lahey Clinic. Internal drainage was the most common operation, but it frequently resulted in recurrent symptoms requiring reoperation. Cyst excision was associated with a significantly lower incidence of recurrent cholangitis and need for reoperation and was not associated with increased operative mortality. Cystic disease was frequently associated with other hepatobiliary diseases. Biliary carcinoma occurred in five (16%) of our patients, and late deaths from biliary-related disease occurred in seven patients (22%). When technically possible, cyst excision is the treatment of choice.