A Proposal of New Classification of Congenital Biliary Dilatation

概要

論文の詳細を見る
A new classification of congenital dilatation of the biliary ducts was proposed by the Working Group of the Japanese Society of Pediatric Surgeons in 1977, and 497 cases collected from 21 Institutes in Japan were analyzed according to the type of dilatation, surgical procedure and follow-up results. A typical cystic dilatation of the choledochus belonged to be 51% and fusiform dilatation to be 10.6% without any other dilatation, but concomitant dilatation of choledochus and main hapatic ducts was seen in 28.5% of all cases. Primary excision of the cyst was carried out with Roux-en-Y anastomosis between the hapatic duct and a limb of jejunum in 219 cases and 80% of the operated cases showed excellent long-term results. Cystojejunostomy showed also favorable results in contrast to less satisfactory results of cystoduodenostomy which showed a significant incidence of later complications.
特定非営利活動法人日本小児外科学会の論文
1980-04-20