Document Detail


Hepaticoduodenostomy at the hepatic hilum after excision of choledochal cyst.
MedLine Citation:
PMID:  7304815     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During the past 11 years, 30 patients, aged 27 days to 25 years, underwent excision of choledochal cyst. Reconstruction of the biliary tract was performed by two techniques: hepaticoduodenostomy in 19 patients and Roux-Y hepaticojejunostomy in 11. The technique of hepaticoduodenostomy consisted of transection of the common hepatic duct at the hilum with an incision extending approximately 5 mm along the lateral wall of both the hepatic ducts to permit a wide anastomotic stoma. There was no mortality. Postoperative cholangitis occurred in five patients, four of whom were in the hepaticoduodenostomy group. All episodes except one responded to antibiotics and have resulted in no demonstrable hepatic dysfunction. Intestinal bleeding occurred in one Roux-Y patient and postoperative intestinal obstruction in another. There was no significant difference in the results of these two procedures in the follow-up period (average length 4 years, 3 months). The hepaticoduodenostomy with a wide stoma at the hilum is advocated because (1) it has significant capability of preventing cholangitis, which has been thought to be the primary objection so far, (2) it creates a better physiologic state, and (3) it may be associated with fewer postoperative complications.
Authors:
T Todani; Y Watanabe; T Mizuguchi; T Fujii; A Toki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  142     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1981 Nov 
Date Detail:
Created Date:  1982-01-28     Completed Date:  1982-01-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  584-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Common Bile Duct Diseases / surgery*
Cysts / surgery*
Duodenum / surgery*
Evaluation Studies as Topic
Female
Hepatic Duct, Common / surgery*
Humans
Infant
Infant, Newborn
Male
Postoperative Complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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