Abstract:Objective:To summarize the etiology, classification and clinical characteristics of congenital bile duct dilatation and our experience in its diagnosis and troatment.
Methods :The clinical data of 37 cases of congenital bile duct dilatation were retrospectively analyzed.
Results:The 37 cases included TypeⅠin 31 cases, Type Ⅱ in 1 case, Type Ⅳ in 4 cases, and Type Ⅴ in 1case. All of the patients underwent operative treatment. External drainage of was done in 2 cases, Rouxeny cystojejunostomy in 3 cases, exeisison of cyst cyst and Rouxeny hepaticojejunostomy in 31 cases and left hepatectomy in 1case with malignant change of cyst. Five cases had postoperative complications that recovered with nonoperative treatment. Thirtytwo cases were cured. There were no operative deaths.
Conclusions:Congenital bile duct dilatation should be treated as soon as possible. Excision of the cyst and Rouxeny hepaticojejunostomy can reduce longterm postoperative complications and is the rational treatment for congenital bile duct dilatation.