先天性胆道閉塞症再手術例の検討 : とくに再手術の手術適応に関して

概要

論文の詳細を見る
Eighty-nine cases of biliary atresia were surgically treated at Tohoku University Hospital during the period from January, 1971 to November, 1979. Re-operations were carried out on 16 patients. These were revision of portojejunostomy for 10, conversion of portocholecystostomy for 4, and conversion of hepaticojejunostomy to portojejunostomy for 2 patients. Excellent bile excretion was obtained in 12 patients after re-operation. By analyses of these 16 cases, following conclusion was obtained: 1) There is a definite indication for re-operation in the patients in whom bile excretion discontinues after excellent bile excretion was once achieved. 2) There is an indication for re-operation in patients of Type I lesion, even if bile excretion was not obtained after the first operation. In these circumstances, optimal time for re-operation is about a month after the first ope-ration. 3) Relative indication is for the patient whose first operation was done before 60 days after birth. In this occasion, the re-operation also should be performed before a month after the first operation in order to do the second surgery within 90 days after birth.
日本小児外科学会の論文
1980-08-20