肝管消化管吻合を施行した胆道閉鎖症の臨床的検討

概要

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Twenty-two patients with hepaticoenterostomy for biliary atresia were analysed clinically. The type of obstruciton was the so-called correctable type and that of hepatic port was alpha type in all patients. Postoperative bile excretion was seen in 20 of 22 cases. In 4 patients, a hepatico-jejunostomy was converted to hepatic portojejunostomy because of poor or ceased bile flow. Jaundice disappeared in 12 cases. Operative results were good in patients with devised operation for prevention of postoperative cholangitis. The diameter of the common hepatic duct was from 2 mm to 15 mm. Ten other patients with the correctable type could not receive a hepaticoenterostomy, because the diameter of the hepatic duct was too small for anastomosis or one side of the hepatic duct was obstructed. Intrahepatic cholelithiasis with dilatation of the bile duct was observed in a boy 18 years after operation. Care should be taken for the long-term survivors after hepaticoenterostomy.
特定非営利活動法人日本小児外科学会の論文
1991-10-20