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- Title
Hepatic ductoplasty and hepaticojejunostomy to treat narrow common hepatic duct during laparoscopic surgery for choledochal cyst.
- Authors
Urushihara, Naoto; Fukumoto, Koji; Nouso, Hiroshi; Yamoto, Masaya; Miyake, Hiromu; Kaneshiro, Masakatsu; Koyama, Mariko; Nakajima, Hideaki
- 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.
- Subjects
LIVER disease treatment; LIVER surgery; JEJUNOSTOMY; SURGICAL excision; SURGICAL anastomosis; SUTURING; BILE duct surgery; CYSTS (Pathology); SURGERY; BILE duct abnormalities; BILIARY tract surgery; SMALL intestine; LAPAROSCOPY; OPERATIVE surgery; TREATMENT effectiveness
- Publication
Pediatric Surgery International, 2015, Vol 31, Issue 10, p983
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-015-3779-8