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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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Purpose : To review the type, incidence and radiologic findings and to evaluate the clinical significance ofintrahepatic duct dilatation of choledochal cysts in children. Materials and Methods : Ultrasonography andoperative cholangiography of 49 consecutive children with surgically confirmed choledochal cyst were reviewed andclassified according to the Todani's classification. Patients with intrahepatic duct dilatation in preoperativeevaluation were routinely followed by ultrasonography after surgery of extrahepatic bile duct. The status of bileduct was evaluated by comparing with the preoperative ultrasonography. Results : According to the preoperativeevaluation, there were 19 cases(39%) of type Ia, three cases(6%) of type Ib, ten cases(20%) of type Ic, 15cases(31%) of type IVa, two cases(4%) of type V, but no case of the type II, III, IVb in Todani's classification.In twelve of 13 patients (five cases of type I and eight cases of type IVa) who had been followed up after surgeryof choledochal cyst, the previously noted intrahepatic ductal dilatation were no longer seen. Conclusion : Theincidence of the types of choledochal cysts by Todani's classification shows no significant difference between ourresult and the other authors'. The intrahepatic ductal dilatation seems to be reversible and mainly secondary toextrahepatic obstruction by choledochal cyst. Thus, postoperative follow up examination is more important thanpreoperative classification of bile duct dilatation.
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