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

Yoshiki Morotomi; Takuji Todani; Yasuhiro Watanabe; Takuo Noda; Kokichi Otsuka

doi:10.1007/BF00174590

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

Yoshiki Morotomi, Takuji Todani, Yasuhiro Watanabe, Takuo Noda, Kokichi Otsuka

Research output: Contribution to journal › Article › peer-review

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 language	English
Pages (from-to)	58-59
Number of pages	2
Journal	Pediatric Surgery International
Volume	11
Issue number	1
DOIs	https://doi.org/10.1007/BF00174590
Publication status	Published - Jan 1996
Externally published	Yes

Keywords

Choledochal cyst
Hepatic portojejunostomy
Kasai's procedure
Narrow hepatic duct

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Surgery

Access to Document

10.1007/BF00174590

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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.",

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

AU - Morotomi, Yoshiki

AU - Todani, Takuji

AU - Watanabe, Yasuhiro

AU - Noda, Takuo

AU - Otsuka, Kokichi

PY - 1996/1

Y1 - 1996/1

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.

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KW - Hepatic portojejunostomy

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KW - Narrow hepatic duct

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