Summary
Today the main problem of bile duct cysts is based on their optimal therapy. Conservative approaches only are fit for single selected cases because of the complications and lethality rate inherent to these methods. The usual operative treatment with internal derivation of the cyst by diversion to an intestinal loop does not take account the nowadays well documented risk of development of cancer in the cyst's tissue, mainly in the adult patient. The modern classification according to Todani et al. [14] offers the possibility for a selective approach with regard to the local anatomic-pathological relations found in the intrahepatic as well as in the extrahepatic biliary tree in such patients. The problems of the clinical picture, diagnosis and therapy are discussed on the basis of 6 cases seen at our centre.
Zusammenfassung
Die Hauptproblematik der Gallengangscysten liegt heute in ihrer Therapie. Konservative Behandlungsmethoden eignen sich aufgrund der damit verbundenen Komplikations- und Letalitätsrate nur für vereinzelte Fälle. Die herkömmlichen operativen Verfahren mit einem inneren Anschluß der Cyste an eine Darmschlinge lassen das jetzt besonders beim Erwachsenen gut dokumentierte maligne Potential des Cystengewebes außer acht. Die moderne Aufteilung der Cysten nach Todani et al. [14] ermöglicht ein rationales Vorgehen für den Einzelfall unter Berücksichtigung der lokalen anatomopathologischen Verhältnisse sowohl des intrahepatischen als auch des extrahepatischen Gallengangssystems. Die Problematik von Klinik, Diagnostik und Therapie wird anhand von 6 eigenen Fällen besprochen.
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Garcia-Gallont, R., Pichlmayr, R. Zur Diagnostik und Therapie der Gallengangscysten beim Erwachsenen. Langenbecks Arch Chiv 363, 31–41 (1984). https://doi.org/10.1007/BF01255775
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DOI: https://doi.org/10.1007/BF01255775