Diagnosis and Treatment of Congenital Choledochal Cyst

Objective To explore the diagnosis and treatment of congenital choledochal cyst. Methods The clinical data of 36 cases of congenital choledochal cyst treated in our hospital from 2005 to 2014 were retrospectively analyzed. The diagnosis and surgical methods were analyzed. Results All the patients underwent B and CT examination,19 cases underwent MRCP scan,6 cases diagnosed by ERCP. 36 cases underwent surgical treatment,including 3 cases of emergency external cyst drainage,resection,underwent cyst and Roux-y hepaticojejunostomy in 27 case-s,6 cases of cyst jejunum Roux-y anastomosis. Complications occurred in 6 cases(13.9%),with 1patients died of mult-iple organ failure, 1 case of hepatic arteries were cut off,1 case of incision dehiscence,2cases of bile leakage,1 case of pleural effusion.31 cases were followed up,20 pati-ents symptoms disappeared,7cases of cyst drainage due to the emergency room or internal drainage of cyst,without relieving symptoms underwent cyst resection, hepatic duct jejunum Roux-y anastomosis. 2 cases of occasional bouts of cholangitis,anti-inflammatory treatment the symptoms dis-appeared. 2 cases of left hepatic duct lithiasis underwent left lateral lobectomy of liver, cure. Conclusion B ultrasound is the first choice for the diagnosis of congenital common bile duct cyst, cyst resection and hepatic duct jejunum Roux-y anastomosis is an effective surgical procedure for the treatment of congenital cyst of common bile duct.