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Ultima descărcare din IBN: 2020-03-25 02:23 |
SM ISO690:2012 HOTINEANU, Adrian. Diagnosticul şi tratamentul chisturilor congenitale ale căilor biliare
. In: Curierul Medical, 2010, nr. 1(313), pp. 46-50. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 1(313) / 2010 / ISSN 1875-0666 | ||||||
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Pag. 46-50 | ||||||
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Diagnosis and Treatment of Congenital Cysts of the Biliary Tracts
Congenital biliary cysts are one part of the severe congenital pathology of the biliary tree. The Todani classification system distinguishes
five morphological types of biliary cysts. Twelve patients with choledochus cysts were hospitalized and treated, 8 with type I, 1 with type IVA
and 3 with type IVB. Between 1992 and 2008 there were major problems in diagnosis and surgical strategies. Diagnostic algorithm included:
ultrasound, ERCP, manometry, MRI, and bilioscintigraphy. The treatment of choice in the cystical ectazia of extrahepatic biliary ducts is the
excision of the segment of biliary ducts affected by cystic ectazia through the application of hepatojejunostomy on the isolated loop by Roux. This
was technically performed in 4 cases by the application of a biliodigestive derivative on the loop by Roux, through which 7 cases were resolved.
One patient died as a result of biliary sepsis.
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Cuvinte-cheie congenital biliary cysts, biliary tree |
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