A case of resectable carcinoma arising in a choledochal cyst retained after three prior biliary drainage operations

過去3回の胆管ドレナージ術を受けた胆管癌合併膵・胆管合流異常の1切除例

A case of resectable carcinoma arising in a choledochal cyst retained after three prior biliary drainage operations

Creators Suzuki Michinari

Creators Tangoku Akira

Creators Hamanaka Yuichiro

Creators Tominaga Hiroshi

Creators Shiragami Toshiaki

Creators Shinagawa Yuji

Creators Adachi Astuhsi

Creators Ozasa Hiroaki

Creators Suzuki Takashi

Creators Fujii Masataka

Creators Shimoi Toshishige

Pancreatoduodenectomy was performed on a 34-year-old woman eho choledochal carcinoma arising in the choledochal cyst retained after three perior biliary drainage operations. Chemotherapy, immunotherapy and radiation were combined after surgery. Postoperative course was almost uneventful, and she has been doing well for the one and a half years since the operation. Carcinoma arises more occasionally and earlier in a choledochal cyst retained after enteris drainage than in a choledochal cyst without enteric drainage. Early resection of the extraphepatic biliary duct followed by billiary reconsrtuction for patients with enteric drainage apears to be essential. It is very rare for a patient with a congentital choledochal cyst to undergo four operations at four different times within a 32-years period. Although the prognosis of carcinoma arising in a choledochal cyst is very poor, she is in good health now, one and a half years after pancreatoduodenectomy.

[ISSN]0513-1731

[NCID]AN00243156