小児胆道拡張症における肝管十二指腸端側吻合術の経験

概要

論文の詳細を見る
In six cases of congenital dilatation of bile ducts, hepaticoduodenostomies with end to side anastomosis were performed after resection of dilated choledochus. The age distribution of the patients undergoing the operation ranged from 2 months to 14 years old. The period postoperative follow up study ranged from 9 months to 7 years and 2 months. Postoperative course was uneventful in all cases and all showed good flow of bile and none of the patients developing ascending cholangitis. The advantages of this procedure are summarized as follows; 1) This method is suitable for the reconstruction of congenital dilation of bile ducts, since mixing of gastric juice is more physiological than with the other common method of reconstruction. 2) The time necessary for operation is relatively short because only a single anastomosis to the duodenum is performed. 3) The large diameter of resected bile duct stoma helps to prevent cholangitis because of perfect bile drainage. 4) Since only the restricted anatomical areas are involved, incidence of postoperative complications such as adhesive ileus are much less than those of other complicated methods.
日本小児外科学会の論文
1984-10-20