총 담관낭 수술 choledochal cyst 정리

본 내용은 " 총 담관낭 수술 choledochal cyst 정리 " 의 원문 자료에서 일부 인용된 것입니다. 2024.07.05

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• 1. Choledochal cyst

  Choledochal cyst는 담관의 선천적 확장으로, 수술적 치료가 필요한 질환입니다. 수술 전 준비로는 항생제 투여, L-tube 삽입, 환자 체위 조정 등이 필요합니다. 수술 과정에서는 담관낭을 제거하고 간-공장 문합술을 시행합니다. 수술 후에는 배액관 관리, 검사 모니터링 등의 관리가 필요합니다.

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• 1. Choledochal cyst

  Choledochal cysts are rare congenital abnormalities of the biliary tract that involve cystic dilatation of the common bile duct. They are classified into five main types based on the location and extent of the cystic dilatation. The exact etiology of choledochal cysts is not fully understood, but it is believed to involve an anomalous pancreaticobiliary duct junction, which allows reflux of pancreatic enzymes into the biliary system, leading to weakening and dilatation of the bile duct wall. Patients with choledochal cysts may present with a variety of symptoms, including abdominal pain, jaundice, nausea, vomiting, and a palpable abdominal mass. Complications can include cholangitis, pancreatitis, and an increased risk of biliary tract malignancies, particularly cholangiocarcinoma. The management of choledochal cysts typically involves surgical excision of the cyst and reconstruction of the biliary tract, usually with a Roux-en-Y hepaticojejunostomy. This procedure aims to remove the cyst, prevent further complications, and reduce the risk of malignant transformation. Early diagnosis and appropriate surgical intervention are crucial to prevent long-term complications and improve patient outcomes. Overall, choledochal cysts are a rare but important condition that require a multidisciplinary approach involving gastroenterologists, hepatobiliary surgeons, and radiologists for accurate diagnosis and effective management. Ongoing research and advancements in surgical techniques and perioperative care have contributed to improved outcomes for patients with this complex congenital disorder.