Surgical difficulties and management strategies for central choledochal cysts_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Bin , QIU Zhiquan , ZHANG Jixiang ,  JIANG Xiaoqing

Department Ⅰof Biliary Tract Surgery, Eastern Hepatobiliary Surgery Hospital & Biliary Tract Malignancy Treatment Centre, Secondary Military Medical University, Shanghai 200438, P. R. China;

Corresponding author：

JIANG Xiaoqing, Email: jxq1225@sina.com

Keywords：

central choledochal cyst; surgical strategy; complication; planned-hepatectomy

DOI：

10.7507/1007-9424.202208019

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Surgery is the only effective treatment for congenital choledochal cysts, as it allows for the resection of the cysts, the complete relief of cholangitis, and the prevention of canceration of cysts. The key elements of surgery for central choledochal cysts involve the cysts resection, bile-intestinal anastomosis, and biliopancreatic diversion. The difficulty in operating on central choledochal cysts lies in the rational decision making and effective management of cysts in the hilar and pancreatic regions. Depending on the type of central choledochal cysts with different anatomical patterns, a reasonable and feasible individualized surgical management strategy can be established to effectively avoid adverse therapeutic consequences such as postoperative biliary leakage, cholangio-intestinal anastomotic stricture, residual choledochal cysts and its carcinogenesis.

Citation： LI Bin, QIU Zhiquan, ZHANG Jixiang, JIANG Xiaoqing. Surgical difficulties and management strategies for central choledochal cysts. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(1): 7-11. doi: 10.7507/1007-9424.202208019 Copy

1.	Jabłońska B. Biliary cysts: etiology, diagnosis and management. World J Gastroenterol, 2012, 18(35): 4801-4810.
2.	李斌, 邱智泉, 刘辰, 等. 先天性胆管囊肿外科治疗要点及“三类五型”分型系统的临床意义. 中华肝胆外科杂志, 2021, 27(2): 86-90.
3.	李斌, 邱智泉, 姜小清. 268例先天性胆管囊肿非合理治疗继发不良治疗后果的回顾性研究. 中华肝胆外科杂志, 2020, 26(12): 916-920.
4.	李斌, 邱智泉, 刘辰, 等. 计划性肝切除在“中央型”肝内外胆管囊肿治疗中的应用. 中华肝胆外科杂志, 2017, 23(9): 619-623.
5.	李斌, 王凤伟, 邱智泉, 等. 352例胆道疾病病人腹腔干-肠系膜上动脉系统影像解剖学研究及其临床意义. 中国实用外科杂志, 2022, 42(2): 179-186,192.
6.	李斌, 邱智泉, 刘辰, 等. 改进外科治疗策略规避Ⅰ型和Ⅳ型先天性胆管囊肿术后并发症. 中华肝胆外科杂志, 2016, 22(12): 848-851.

1. Jabłońska B. Biliary cysts: etiology, diagnosis and management. World J Gastroenterol, 2012, 18(35): 4801-4810.
2. 李斌, 邱智泉, 刘辰, 等. 先天性胆管囊肿外科治疗要点及“三类五型”分型系统的临床意义. 中华肝胆外科杂志, 2021, 27(2): 86-90.
3. 李斌, 邱智泉, 姜小清. 268例先天性胆管囊肿非合理治疗继发不良治疗后果的回顾性研究. 中华肝胆外科杂志, 2020, 26(12): 916-920.
4. 李斌, 邱智泉, 刘辰, 等. 计划性肝切除在“中央型”肝内外胆管囊肿治疗中的应用. 中华肝胆外科杂志, 2017, 23(9): 619-623.
5. 李斌, 王凤伟, 邱智泉, 等. 352例胆道疾病病人腹腔干-肠系膜上动脉系统影像解剖学研究及其临床意义. 中国实用外科杂志, 2022, 42(2): 179-186,192.
6. 李斌, 邱智泉, 刘辰, 等. 改进外科治疗策略规避Ⅰ型和Ⅳ型先天性胆管囊肿术后并发症. 中华肝胆外科杂志, 2016, 22(12): 848-851.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Surgical difficulties and management strategies for central choledochal cysts

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content