Modified Kasai's procedure for a choledochal cyst with a very narrow hilar duct

Y. Morotomi, T. Todani, Y. Watanabe, Takuo Noda, K. Otsuka

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Excision has been widely recognized as the treatment of choice for choledochal cysts. For biliary reconstruction after cyst excision, we have strongly recommended hepaticoenterostomy at the hepatic hilum with a wide anastomotic stoma to prevent postoperative cholangitis. However, we recently treated two infants in whom a wide anastomotic stoma could not be made due to a narrow hilar duct. Therefore, a hepatic portojejunostomy with Roux-en-Y anastomosis (Kasai's procedure) was performed after cyst excision in both case to permit free drainage of bile. The mucosa of the hilar duct was everted and fixed to the liver parenchyma to prevent stricture formation. Both babies have done well since the surgery.

Original languageEnglish
Pages (from-to)58-59
Number of pages2
JournalPediatric Surgery International
Volume11
Issue number1
Publication statusPublished - 1996
Externally publishedYes

Fingerprint

Choledochal Cyst
Cysts
Liver
Roux-en-Y Anastomosis
Cholangitis
Bile
Drainage
Pathologic Constriction
Mucous Membrane
Therapeutics

Keywords

  • Choledochal cyst
  • Hepatic portojejunostomy
  • Kasai's procedure
  • Narrow hepatic duct

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Modified Kasai's procedure for a choledochal cyst with a very narrow hilar duct. / Morotomi, Y.; Todani, T.; Watanabe, Y.; Noda, Takuo; Otsuka, K.

In: Pediatric Surgery International, Vol. 11, No. 1, 1996, p. 58-59.

Research output: Contribution to journalArticle

Morotomi, Y, Todani, T, Watanabe, Y, Noda, T & Otsuka, K 1996, 'Modified Kasai's procedure for a choledochal cyst with a very narrow hilar duct', Pediatric Surgery International, vol. 11, no. 1, pp. 58-59.
Morotomi, Y. ; Todani, T. ; Watanabe, Y. ; Noda, Takuo ; Otsuka, K. / Modified Kasai's procedure for a choledochal cyst with a very narrow hilar duct. In: Pediatric Surgery International. 1996 ; Vol. 11, No. 1. pp. 58-59.
@article{d938bc48753142ef87182d819b7f6400,
title = "Modified Kasai's procedure for a choledochal cyst with a very narrow hilar duct",
abstract = "Excision has been widely recognized as the treatment of choice for choledochal cysts. For biliary reconstruction after cyst excision, we have strongly recommended hepaticoenterostomy at the hepatic hilum with a wide anastomotic stoma to prevent postoperative cholangitis. However, we recently treated two infants in whom a wide anastomotic stoma could not be made due to a narrow hilar duct. Therefore, a hepatic portojejunostomy with Roux-en-Y anastomosis (Kasai's procedure) was performed after cyst excision in both case to permit free drainage of bile. The mucosa of the hilar duct was everted and fixed to the liver parenchyma to prevent stricture formation. Both babies have done well since the surgery.",
keywords = "Choledochal cyst, Hepatic portojejunostomy, Kasai's procedure, Narrow hepatic duct",
author = "Y. Morotomi and T. Todani and Y. Watanabe and Takuo Noda and K. Otsuka",
year = "1996",
language = "English",
volume = "11",
pages = "58--59",
journal = "Pediatric Surgery International",
issn = "0179-0358",
publisher = "Springer Verlag",
number = "1",

}

TY - JOUR

T1 - Modified Kasai's procedure for a choledochal cyst with a very narrow hilar duct

AU - Morotomi, Y.

AU - Todani, T.

AU - Watanabe, Y.

AU - Noda, Takuo

AU - Otsuka, K.

PY - 1996

Y1 - 1996

N2 - Excision has been widely recognized as the treatment of choice for choledochal cysts. For biliary reconstruction after cyst excision, we have strongly recommended hepaticoenterostomy at the hepatic hilum with a wide anastomotic stoma to prevent postoperative cholangitis. However, we recently treated two infants in whom a wide anastomotic stoma could not be made due to a narrow hilar duct. Therefore, a hepatic portojejunostomy with Roux-en-Y anastomosis (Kasai's procedure) was performed after cyst excision in both case to permit free drainage of bile. The mucosa of the hilar duct was everted and fixed to the liver parenchyma to prevent stricture formation. Both babies have done well since the surgery.

AB - Excision has been widely recognized as the treatment of choice for choledochal cysts. For biliary reconstruction after cyst excision, we have strongly recommended hepaticoenterostomy at the hepatic hilum with a wide anastomotic stoma to prevent postoperative cholangitis. However, we recently treated two infants in whom a wide anastomotic stoma could not be made due to a narrow hilar duct. Therefore, a hepatic portojejunostomy with Roux-en-Y anastomosis (Kasai's procedure) was performed after cyst excision in both case to permit free drainage of bile. The mucosa of the hilar duct was everted and fixed to the liver parenchyma to prevent stricture formation. Both babies have done well since the surgery.

KW - Choledochal cyst

KW - Hepatic portojejunostomy

KW - Kasai's procedure

KW - Narrow hepatic duct

UR - http://www.scopus.com/inward/record.url?scp=0029655963&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029655963&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0029655963

VL - 11

SP - 58

EP - 59

JO - Pediatric Surgery International

JF - Pediatric Surgery International

SN - 0179-0358

IS - 1

ER -