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 |
| Publication status | Published - 1996 |
| Externally published | Yes |
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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 journal › Article
}
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
VL - 11
SP - 58
EP - 59
JO - Pediatric Surgery International
JF - Pediatric Surgery International
SN - 0179-0358
IS - 1
ER -