경희대학교
의과대학 외과학교실
김주현·고영관·고석환·윤
충·이상목·홍성화
Long-term
Resu1ts of Roux-en-Y Procedure in Choledochal Cyst and in Cholelithiasis
Joo-Hyun
Kim, M D, Young-Gwan Ko, M.D; Suck-Hwan Koh, M.D. Choong Yoon, M,D.
Sang-Mok Lee,
M.D, and Sung-Wha Hong, M.D.
Department
of Surgery. School of Medicine. Kyung-Hee University Hospital, Seoul, Korea
Background/Aims:
The long-term results of Roux-en-Y procedure as a treatment for choledochal cyst
or cholelithiasis were compared and analyzed.
Methods:
A retrospective analysis was carried out for 70 patients (38 type 1 or type 4A choledochal
cysts, 33 cholelithiasis) with ages ranging from 17 to 74 years who had undergone
hepaticojejunostomy or choledochojejunostomy in a Roux-en-Y manner, with or without
hepatectomy.
Results:
Late complications related to the surgical procedure include cholangitis, recurrent
stone, malignancy, abscess, and peptic ulcer disease, The late complication rate
was 37.8% in the choledochal cyst group, and 27.3% in the cholelithiasis group.
Cholangitis were found in 8.1% of the choledochal cyst group, and in 12.1% of the
cholelithiasis group. Recurrent stones were found in 10.8% and 18.2%, respectively,
A malignant tumor was found in each group, and both of them were not resectable.
Peptic ulcers or erosions were found in 5 patients (13,5%) of the choledochal cyst
group, but no one in the cholelithiasis group (p=0.056).
Conclusion:
Late complications after Roux-en-Y procedure in choledochal cyst or cholelithiasis
are not uncommon and relatively serious. Long-term fo11ow-up for the patients is
mandatory, with attention being given to not on1y biliary symptoms but a1so symptoms
related to peptic ulcer disease.
Key
Words : Choledochal cyst, Cholelithiasis, Roux-en-Y, Long-term complication
중심단어
: 총담관낭, 담석증, Rou-en-Y, 장기 합병증 |
