Wen Zhe,Liang Qifeng.Diagnosis and management of congenital choledochal cyst plus accessory hepatic duct[J].Journal of Clinical Pediatric Surgery,2019,18(07):533-535.[doi:10.3969/j.issn.1671-6353.2019.07.002]
先天性胆总管囊肿合并副肝管的诊断和处理
- Title:
- Diagnosis and management of congenital choledochal cyst plus accessory hepatic duct
- Keywords:
- Choledochal Cyst/DI; Choledochal Cyst/TH
- 分类号:
- R726;R616.5;R575.7
- 摘要:
- 副肝管是临床上比较少见的胆道变异,虽然胆总管囊肿合并副肝管发生率并不高,但不合理的处理往往会导致术后并发症,因此临床上需要特别重视。随着腹腔镜技术的进步,腹腔镜下可以很好的完成副肝管成型,并且其微创优势更加明显。笔者旨在结合自身临床经验,对先天性胆总管囊肿合并副肝管的诊断和处理提出自己的观点和思考。
- Abstract:
- The parahepatic duct is a rare biliary tract mutation in clinical practice. Although the incidence of cholangiocarcinoma with parahepatic duct is not high, unreasonable treatment often leads to postoperative complications, so it needs special attention in clinical practice. With the advancement of laparoscopic techniques, laparoscopic can be used to complete the formation of the accessory hepatic duct, and its minimally invasive advantage is more obvious. The author aims to combine his clinical experience to present his own views and thoughts on the diagnosis and management of congenital choledochal cyst combined with the accessory hepatic duct.
参考文献/References:
1 Puente SG,Bannura GC.Radiological anatomy of the biliary tract:variations and congenital abnormalities[J].World J Surg,1983,7(2):271-276.
2 郑和鸣,蔡秀军,李立波,等.腹腔镜胆囊切除术中右副肝管及右肝管损伤的预防及处理[J].中华肝胆外科杂志,2010.25(5):363-366.Zheng HM,Cai XJ,Li LB,et al.Prevention and management of injuries of right accessory hepatic duct and right hepatic duct during laparoscopic cholecystectomy[J].Chinese Journal of Hepatobiliary Surgery,2010.25(5):363-366.
3 龚建平,周永碧,韩本立.副肝管的识别及其在预防胆管损伤中的作用[J].世界华人消化杂志,1999; 7(12):1099-1100.Gong JP,Zhou YB,Han BL.Identifying accessory hepatic ducts and its role in preventing injuries of bile ducts[J].World Chinese Journal of Digestology,1999;7(12):1099-1100.
4 赵楠,董蒨,江布先.先天性胆管扩张症合并迷走胆管的诊断及治疗[J].中华肝胆外科杂志,2007,13(1):61-63.Zhao N,Dong Q,Jiang BX.Diagnosis and treatment of congenital bile duct dilatation plus vagus bile duct[J].Chinese Journal of Hepatobiliary Surgery,2007,13(1):61-63.
5 Kimura H,Ishida H,Konno K,et al.Accessory hepatic duct:sonographic findings[J].Abdom Imaging,2002,27:329-332.
6 Kullman E,Borch K,Lindstrom E,et al.Value of routine intraoperative cholangiography in detecting aberrant bile ducts and bile duct injuries during laparoscopic cholecystectomy[J].Br J Surg,1996,83:171-175.
7 Singh S,Singh NP,Goyal A,et al.Choledochal cyst with aberrant right posterior sectoral duct[J].Indian J Surg,2015,77(Suppl 2).
8 Takahashi T,Shimotakahara A,Takahashi T,et al.Choledochal cyst associated with an accessory hepatic duct identified by intra-operative endoscopy:case report and literature review[J].Pediatr Surg Int,2008,24:1079-1082.
9 席红卫,赵正,段文强,等.双Y型吻合方式治疗先天性胆管扩张症并迷走胆管畸形[J].中华小儿外科杂志.2015,36(9):690-693.Xi HW,Zhao Z,Duan WQ,et al.Double Y-shaped anastomotic mode in the treatment of congenital bile duct dilatation plus aberrant bile ducts[J].Chinese Journal of Pediatric Surgery,2015,36(9):690-693.
10 Narasimhan KL,Chowdhary SK,Rao KL.Management of accessory hepatic ducts in choledochal cysts[J].J Pediatr Surg,2001,36:1092-1093.
11 Kozakai F,Kanno Y,Ito K,et al.Endoscopic-ultrasonography-guided biliary drainage for repetitive acute cholangitis of the accessory hepatic duct obstructed by clipping during laparoscopic cholecystectomy[J].Nihon Shokakibyo Gakkai Zasshi,2017;114(4):683-690.
12 Casabianca AS,Shah MM,Carpizo D.Accessory bile duct:a rare but important anatomical variant[J].BMJ Case Rep,2018,17:2018-225.DOI:10.1136/bcr-2018-225133.
13 Wen Z,Cheng W,Liang QF,et al.Laparoscopic Management of Choledochal Cysts Associated with Aberrant Hepatic Ducts. J Laparoendosc Adv Surg Tech A. 2019 Jul 17.DOI:10.1089/lap.2019.0026.[Epub ahead of print]
相似文献/References:
[1]白强 董克刚 方辉. 胆总管囊肿并发穿孔9例诊疗分析[J].临床小儿外科杂志,2012,11(01):72.
[2]宫济春,罗喜荣,高文忠,等.先天性胆总管囊肿诊治52例报道[J].临床小儿外科杂志,2007,6(03):10.
[3]张雪琴 魏昊 魏明发. 儿童胆总管囊肿手术治疗98例[J].临床小儿外科杂志,2012,11(04):313.
[J].Journal of Clinical Pediatric Surgery,2012,11(07):313.
备注/Memo
收稿日期:2019-6-30。