医学
胆总管囊肿
肝内胆管
吻合
门(解剖学)
胆管
狭窄
经皮
并发症
囊肿
胆管疾病
外科
放射科
作者
Hisami Ando,Toshio Ito,Kenitiro Kaneko,Takahiko Seo,Fumihiko Ito
出处
期刊:PubMed
日期:1996-07-01
卷期号:183 (1): 56-60
被引量:11
摘要
Formation of intrahepatic calculi is one of the major late complications after excision of a choledochal cyst. There are few studies, however, that have examined this complication. Generally, an anastomotic stricture is believed to be the main cause of intrahepatic calculi. We report our experience with eight patients who had intrahepatic calculi after excision of a choledochal cyst.To determine what caused the intrahepatic calculi to form, seven patients underwent cholangioscopy and direct visual inspection during the operation, and one patient underwent percutaneous transhepatic cholangioscopy. Intrahepatic bile was cultured, and calculi were analyzed.Two types of stenoses (membranous and septal) were demonstrated near the hepatic hilum in all patients. Calculi were always located on the hepatic side of the stenoses. No anastomotic strictures were found in the region of the hepaticojejunostomy. The calculi contained mainly calcium bilirubinate. Escherichia coli and Klebsiella pneumoniae were cultured from the bile in all patients.Stenoses of the intrahepatic bile ducts were demonstrated in all eight patients. The stenoses were considered to be the primary cause of intrahepatic calculi formation after excision of the choledochal cysts.
科研通智能强力驱动
Strongly Powered by AbleSci AI