Hepatic ductoplasty and hepaticojejunostomy to treat narrow common hepatic duct during laparoscopic surgery for choledochal cyst

Naoto Urushihara, Koji Fukumoto, Hiroshi Nouso, Masaya Yamoto, Hiromu Miyake, Masakatsu Kaneshiro, Mariko Koyama, Hideaki Nakajima

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

We describe a novel technique for laparoscopic hepatic ductoplasty and hepaticojejunostomy in choledochal cyst with a narrow common hepatic duct. After complete cyst excision, a longitudinal incision was made in the anterior wall of the narrow common hepatic duct to enlarge the anastomotic opening. Next, the anterior wall was everted, then anchored to the hepatic hilum by suturing. Anchoring of the anterior wall provided a good field of view for creating the anastomosis, and the lumen of the anastomotic region was also secured. We believe that our technique is feasible and useful when the duct size is small.

Original languageEnglish
Pages (from-to)983-986
Number of pages4
JournalPediatric Surgery International
Volume31
Issue number10
DOIs
Publication statusPublished - Oct 22 2015
Externally publishedYes

Keywords

  • Choledochal cyst
  • Ductoplasty
  • Hepaticojejunostomy
  • Laparoscopy
  • Narrow hepatic duct

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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