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KMID : 0371319950480050676
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Journal of the Korean Surgical Society
1995 Volume.48 No. 5 p.676 ~ p.684
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The Clinical Analysis of Choledochal Cyst in 44 Cases
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김성철
이상목/이태석/홍성화/오수명
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Abstract
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Congenital dilatation of bile duct or choledochal cyst is a relatively rare disorder, usually diagnosed in infancy or childhood with increasing frequency.
Anomalous junction of the pancreaticobiliary duct is one of the well known etiologies but the etiology of choledochal cyst is still uncertain.
The diagnosis of choledochal cyst is not easy until the symptom has appeared but the accuracy of diagnosis is improved with the development of diagnostic instruments and techniques that is able to diagnose and treat choledochal cyst early.
A total of 44 patients treated for choledochal cysts was reviewed at the Department of General Surgery, College of Medicine, Kyung Hee University between January of 1980 and March of 1994.
EECP was performed in 27(61.4%) cases and pancreaticobiliary ductal union was successfully visualized in 18(61.4%) cases and all cases had anomalous junction of the pancreaticobiliary duct. Therefore, anomalous junction of the pancreaticobiliary
duct
was thought to be one of the causes of choledochal cyst.
Complete excision of cyst with or without submucosal dissection and Roux-en-Y hepaticojejunostomy was thought to be the most effective operation before liver failure and/or cancer change because 32 follow-ups out of 35 cases operated with this
type
had
good result without any significant complication.
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KEYWORD
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