成人胆管囊性扩张症恶变12例报告

近１０年来我院手术治疗成人先天性胆管囊性扩张症５７例，有１２例合并癌变（２１％）。其中６例切除病变（５例同时做内引流，１例Ｔ管引流），单纯胆肠吻合加Ｕ管引流３例，仅行活检３例。手术后中位生存期１０个月。因为成人胆管囊性扩张症的主要危险之一是恶变且预后不良，因此应尽量切除扩张的胆管，如不能切除的部位应充分引流。对已经癌变的病例，最有效的治疗方法是切除恶变的胆管及充分引流未恶变的扩张胆管。

Cancerization of choledochal cyst in adults: report of12 cases.

e dealed with 57 adults with congenital choledochal cysts during the past 10 years, 12 cases (21 % )were found as canceration of the dilated bile ducts. Forthese 12 patients the surgical procedures consisted ofresection of the cysts and reconstruction of the binarytract in 6 cases, bilioenterostomy with U tube drainagein 3 and only biopsy in 3. The median survival in ourseries after operation was 10 months. Since congenitalcholedochal cysts in adults have a risk of malignanttransformation with a poor prognosis they should beresected as earlier as possible or made a effective binary drainage. Resection is also the best treatment ofchoice for malignant cysts.