TY - JOUR A2 - Sperti，科西莫AU - Honnavara斯里尼瓦桑，Pranav AU - Anbalagan，Amudhan AU - Shanmugasundaram，拉金德伦AU - Obla Lakshmanamoorthy，Naganathbabu PY - 2020 DA - 2020年4月21日TI - 胆总管囊肿的管理在三级医疗中心：来自印度的SP九年体验 - 8017460 VL - 2020 AB - 背景。虽然胆总管囊肿病见于主要在童年时代，它越来越多地合式确诊的成人患者。 方法。36本例中我们2010年1-12月2018年间学院管理胆总管囊肿进行回顾性分析。 结果。在演讲中位年龄为37岁（范围：13-72岁）。Female-to-male ratio was 3.5 : 1. All patients were symptomatic, and abdominal pain was the most common symptom. 72.2% had other associated conditions. There was a considerable delay from the onset of symptoms to referral, median duration being 348 days. There were 28 cases of type I (77.8%), 5 cases of type IVA (13.9%), and 3 cases of type IVB (8.3%). Cyst excision with Roux-en-Y hepaticojejunostomy was performed in 29 (80.55%) cases. This procedure was combined with a left lateral sectionectomy, left hepatectomy, and radical cholecystectomy in 1, 2, and 1 cases, respectively. Lilly’s technique was used in 2 cases, and cyst excision with hepaticoduodenostomy was performed in 1 case. Early complications were seen in 21 patients (58.3%), and late complications were seen in 5 patients (13.8%). 2 patients were found to have associated malignancies. One patient was detected to have cholangiocarcinoma in the resected liver incidentally, and another patient was diagnosed to have gall bladder cancer intraoperatively. 结论。胆总管囊肿应在成人上腹或右季肋部疼痛或黄疸呈现的鉴别诊断考虑。彻底的术前评估是必要的。与空肠Roux-en-Y吻合囊肿切除形成在大多数情况下的标准治疗。长期随访并发症和早期发现恶性变的管理至关重要。SN - 2356-7759 UR - https://doi.org/10.1155/2020/8017460 DO - 10.1155 /八百〇一万七千四百六十〇分之二千〇二十JF - 外科研究与实践PB - Hindawi出版KW - ER -