先天性胆道閉鎖症術後における肝門部内視鏡操作と再手術

概要

論文の詳細を見る
Endoscopic manipulations including washing of anastomotic site and removal of suture materials and granulation were applied firstly in patients with decreased or failed bile flow after hepatic porto-enterostomy for congenital biliary atresia. For patients who had no sufficient bile flow after such manipulations, removal or resection of the granulation or scar tissue at the hepatic porta was performed. By manipulation and reoperation, the following results were obtained: 1. Endoscopic manipulations led a remarkabl effect in one of nine cases. This procedure was useful to evaluate the indication of reoperation. 2. Of eight reoperations, constant bile flow was obtained in three who had had considerable bile flow temporally after the primary operation and undergone adequate resection of the scar tissue at the secondary procedure. 3. The special scissors divised by us was useful for the resection of the scar tissue.
日本小児外科学会の論文
1983-05-20