Pediatric Diagnosis and Treatment of 10 cases of choledochal cyst.doc

 PAGE \* MERGEFORMAT 9 Pediatric Diagnosis and Treatment of 10 cases of choledochal cyst Keywords: Choledochal cyst in children Choledochal cyst is a congenital biliary tract disorder the more common form, can occur in the liver, bile duct, any part of, but the remote more common. Since our hospital from July 2001 to September 2007 were treated in 10 cases, the report is as follows. A clinical data 1.1 General Information The male children in this group 2 cases, 8 females; aged 11 months to 10 years old, “one-year-old in 3 cases, length of stay 15 ~ 40d. According to To-dani typing [1]: Ⅰ type (cystic dilatation of common bile duct) in 9 cases, Ⅳ type (liver, bile duct cystic dilatation) in 1 case. Different clinical symptoms, abdominal pain in 7 cases, 6 cases of jaundice, abdominal mass in 7 cases, intermittent chills, fever, 3 cases with ascites in 1 case, there are different degrees of elevated aminotransferases in 8 cases, including two cases of albumin lt;35g / L. Abdominal pain, jaundice, fever and abdominal mass in 3 cases. 10 cases were examined by ultrasonography, CT examination in 3 cases, MRCP examination in 7 cases. The group of 10 cases were diagnosed preoperatively clear. Merger stones in 2 cases, 7 cases of bile amylase checks have increased. 1.2 Treatment 5 ~ 9d pre-surgery under general anesthesia before surgery, 9 of which routine cyst excision, hepatic duct jejunum Roux-en-Y anastomosis, anastomotic drainage tubes are placed in the vicinity. A routine External drainage. 2 Results Cyst excision and biliary reconstruction in 9 cases, 1 case due to hypoproteinemia after a large number of ascites associated with infection, auto-discharged patients over a smooth recovery; OK External drainage in 1 case, in the 15d stage Ⅱ OK after cyst excision, hepatic duct jejunum Roux-en-Y anastomosis, after discharged. Postoperative pathological examination results: 9 cases of cystic dilatation o