Lu Wenjun,Li Zhaozhu,Xu Bo,et al.Identifying and treating rare types of choledochal cysts and improving the safety of laparoscopy[J].Journal of Clinical Pediatric Surgery,,18():548-551.[doi:10.3969/j.issn.1671-6353.2019.07.006]
Identifying and treating rare types of choledochal cysts and improving the safety of laparoscopy
- Keywords:
- Laparoscopes; Cystic Duct
- CLC:
- R726;R616.5;R575.7
- Abstract:
- With a high incidence in Asian countries,choledochal cyst is a common congenital biliary system disease in pediatric surgery.With the development of laparoscopic technology,pediatric surgeons have gained a deeper understanding of common bile duct cyst diseases and pathological anatomy.Type I in Todani classification is the most common one in clinic practice and its treatments are the most mature.Insufficient knowledge of rare types may cause complications.The characteristics of lesions and intraoperative cautions were summarized for improving the safety of operation.
References:
1 陶文芳,冯家钧,田乃滨,等.囊肿切除、胆道重建治疗先天性胆总管囊肿(附31例临床分析)[J].中华小儿外科杂志,1982,3(4):210-212.DOI:10.3760/cma.j.issn.0253-3006.1982.04.007.Tao WF,Feng JJ,Tian NB,et al.Cyst resection and biliary duct reconstruction for congenital choledochal cysts:a clinical analysis of 31 cases[J].Chinese Journal of Pediatric Surgery,1982,3(4):210-212.DOI:10.3760/cma.j.issn.0253-3006.1982.04.007.
2 李索林,时保军,温哲,等.腹腔镜下胆总管囊肿切除、胆道重建术[J].中华小儿外科杂志,2004,25(4):298-301.DOI:10.3760/cma.j.issn.0253-3006.2004.04.002.Li SL,Shi BJ,Wen Z,et al.Laparoscopic choledochal cyst resection and biliary duct reconstruction[J].Chinese Journal of Pediatric Surgery,2004,25(4):298-301.DOI:10.3760/cma.j.issn.0253-3006.2004.04.002.
3 Qiao G,Li L,Li S,et al.Laparoscopic cyst excision and Roux-Y hepaticojejunostomy for children with choledochal cysts in China:a multicenter study[J].Surgical Endoscopy,2015,29(1):1-5.DOI:10.1007/s00464-014-3667-7.
4 李昭铸,陶文芳,韩福友,等.囊肿切除、胆道重建治疗先天性胆总管囊肿[J].中华小儿外科杂志,2001,22(3):168-171.DOI:10.3760/cma.j.issn.0253-3006.2001.03.014.Li ZZ,Tao WF,Han WF,et al.Cyst resection and biliary duct reconstruction for congenital choledochal cysts[J].Chinese Journal of Pediatric Surgery,2001,22(3):168-171.DOI:10.3760/cma.j.issn.0253-3006.2001.03.014.
5 Todani T,Watanabe Y,Narusue M,et al.Congenital bile duct cyst:classification,operative procedure,and review of 37 cases including cancer arising from choledochal cyst[J].Am J Surg,1997,34(2):263-269.DOI:10.1016/0002-9610(77)90359-2.
6 Diao M,Li L,Cheng W.Congenital biliary dilatation may consist of 2 disease entities[J].J Pediatr Surg,2011,46(8):1503-1509.DOI:10.1016/j.jpedsurg.2010.12.022.
7 中华医学会小儿外科分会腔镜外科学组.腹腔镜胆总管囊肿手术操作指南(2017版)[J].中华小儿外科杂志,2017,38(7):485-494.DOI:10.3760/cma.j.issn.0253-3006.2017.07.002.Endoscopic Surgery Group,Branch of Pediatric Surgery,Chinese Medical Association:Guidelines of Laparoscopic Procedures for Choledochal Cysts (2017 Edition)[J].Chinese Journal of Pediatric Surgery,2017,38(7):485-494.DOI:10.3760/cma.j.issn.0253-3006.2017.07.002.
8 高志刚,章跃滨,蔡多特,等. 腹腔镜胆总管囊肿根治术205例并发症分析及经验总结[J]. 临床小儿外科杂志,2017,16(1):65-69.DOI:10.3969/j.issn.1671-6353.2017.01.015.Gao ZG,Zhang YB,Cai DT,et al.Complication analysis and experience summarizing of radical laparoscopy for choledochal cysts:a report of 205 cases[J].Journal of Clinical Pediatric Surgery,2017,16(1):65-69.DOI:10.3969/j.issn.1671-6353.2017.01.015.
9 De U,Das S,Sarkar S.Type VI choledochal cyst revisited[J].Singapore Med J.2011;52:91-93.DOI:10.1016/j.revmed.2010.08.023.
10 Goya C,Arslan MS,Yavuz A,et al.A rare anomaly of biliary system:MRCP evidence of a cystic duct cyst[J].Case Rep Radiol.2014,2014:291071.DOI:10.1155/2014/291071.
11 李龙,陈震. 胆总管囊肿精准治疗的理念及思考[J].临床小儿外科杂志,2017,16(4):332-334.DOI:10.3969/j.issn.1671-6353.2017.04.006.Li L,Chen Z.Concepts and thoughts of precision treatment for choledochal cysts[J].Journal of Clinical Pediatric Surgery,2017,16(4):332-334.DOI:10.3969/j.issn.1671-6353.2017.04.006.
12 李爱武,宋亚宁,席栋,等. 胆总管囊肿伴肝总管狭窄患儿的腹腔镜手术治疗[J]. 中华腔镜外科杂志电子版,2010,03(3):25-27.DOI:10.3969/cma.j.issn.1674-6899.2010.03.009.Li AW,Song YN,Xi D,et al.Laparoscopic treatment of children with choledochal cysts and stenosis[J].Chinese Journal of Laparoscopic Surgery (Electronic Edition),2010,03(3):25-27.DOI:10.3969/cma.j.issn.1674-6899.2010.03.009.
13 Ten Hove A,de Meijer VE,Hulscher JBF,et al.Meta-analysis of risk of developing malignancy in congenital choledochal malformation[J].Br J Surg.2018,105(5):482-490.DOI:10.1002/bjs.10798.Epub2018Feb 26.
Memo
收稿日期:2019-6-27。
基金项目:国家自然基金项目（编号：81572117）
通讯作者:李昭铸,Email:zhaozhu247@163.com