Biliary complications after excisional procedure for choledochal cyst

T. Todani, Y. Waranabe, N. Urushihara, Takuo Noda, Y. Morotomi

Research output: Contribution to journalArticle

101 Citations (Scopus)

Abstract

During the last 25 years, from 1969 to 1994, the authors treated 97 choledochal cysts by surgical excision. Biliary reconstruction consisted of 67 hepaticoduodenostomies and 30 hepaticojejunostomies. The common hepatic duct was the site of anastomosis in 9 of the duodenostomies and 13 of the jejunostomies and of the bifurcation of the hepatic ducts in 58 duodenostomies and 17 jejunostomies. Reoperation was required in 10 cases because of recurrent cholangitis with intrahepatic gallstones. Biliary strictures were responsible for the cholangitis in 9 children with anastomoses at the level of the common hepatic duct and in 1 with an anastomosis at the level of the bifurcation. These results suggest that biliary complications develop because of anastomotic stricture or primary ductal stricture, and may be minimised by the creation of a wide anastomosis, which is best accomplished at the hepatic hilum.

Original languageEnglish
Pages (from-to)478-481
Number of pages4
JournalJournal of Pediatric Surgery
Volume30
Issue number3
Publication statusPublished - Mar 1995
Externally publishedYes

Fingerprint

Choledochal Cyst
Common Hepatic Duct
Duodenostomy
Jejunostomy
Pathologic Constriction
Cholangitis
Gallstones
Reoperation
Liver

Keywords

  • anastomotic stricture
  • cholangitis
  • Choledochal cyst
  • primary ductal stricture

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Todani, T., Waranabe, Y., Urushihara, N., Noda, T., & Morotomi, Y. (1995). Biliary complications after excisional procedure for choledochal cyst. Journal of Pediatric Surgery, 30(3), 478-481.

Biliary complications after excisional procedure for choledochal cyst. / Todani, T.; Waranabe, Y.; Urushihara, N.; Noda, Takuo; Morotomi, Y.

In: Journal of Pediatric Surgery, Vol. 30, No. 3, 03.1995, p. 478-481.

Research output: Contribution to journalArticle

Todani, T, Waranabe, Y, Urushihara, N, Noda, T & Morotomi, Y 1995, 'Biliary complications after excisional procedure for choledochal cyst', Journal of Pediatric Surgery, vol. 30, no. 3, pp. 478-481.
Todani T, Waranabe Y, Urushihara N, Noda T, Morotomi Y. Biliary complications after excisional procedure for choledochal cyst. Journal of Pediatric Surgery. 1995 Mar;30(3):478-481.
Todani, T. ; Waranabe, Y. ; Urushihara, N. ; Noda, Takuo ; Morotomi, Y. / Biliary complications after excisional procedure for choledochal cyst. In: Journal of Pediatric Surgery. 1995 ; Vol. 30, No. 3. pp. 478-481.
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