담관 낭종에서 Jejunal Interposition Hepaticoduodenostomy 술식의 임상경험 = Jejunal Interposition Hepaticoduodenostomy in Choledochal Cyst

다국어 초록 (Multilingual Abstract)

Choledochal cyst is an uncommon anomaly in Oriental peoples.Hepaticoduodenstomy and Roux-en-Y hepaticojejunostomy for bile duct reconstruction after cyst excision has long been used as the standard procedure for surgical treatment of choledochal cyst. Hepaticoduodenostomy is technically simple and physiological, but it has frequent ascending infection. Roux-en-Y hepaticojejunostomy has less chance for reflux of intestinal contents, but it has increased incidence of peptic ulcer(McArther & Longmire, 1971) and fat malabsorption that may due to diversion of bile flow.
The jejunal interposition hepaticoduodenostomy technique(10cm, isoperistaltic sement) after cyst excision was reported by Grassi in 1971, evaluated by longmire et al. in 1978, recommended for the treatment of choledochal cyst by Raffensperger in 1980. Recently, authors experienced this procedure in three cases of chledochal cyst and briefly reviewed with literatures.