2024-03-29T12:50:29Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00026898
2023-01-16T04:43:40Z
499:500:501
Introduction of resection of intrahepatic bile duct stenosis-causing membrane or septum into laparoscopic choledochal cyst excision
Tanaka, Yujiro
Tainaka, Takahisa
Sumida, Wataru
Hinoki, Akinari
Shirota, Chiyoe
Murase, Naruhiko
Oshima, Kazuo
Shirotsuki, Ryo
Chiba, Kosuke
Uchida, Hiroo
open access
“This is a post-peer-review, pre-copyedit version of an article published in [Pediatric Surgery International]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00383-018-4320-7”.
Laparoscopic surgery
Choledochal cyst
Bile duct stenosis
Ductoplasty
Purpose: We previously showed that meticulous probing and resection of the intrahepatic bile duct stenosis (IHBDS)-causing membrane or septum was effective in preventing hepatolithiasis after choledochal cyst excisions in open surgeries. Then, we introduced this maneuver into laparoscopic choledochal cyst excisions in 2014 and performed routine resections since then. The aim of this study was to show the feasibility of this method in laparoscopic surgery. Methods: We retrospectively reviewed the demographics and outcomes of patients who underwent laparoscopic choledochal cyst excisions at our hospital between January 2014 and December 2017. The patients who underwent surgical treatment for IHBDS-causing membrane or septum were compared with those who did not undergo the procedure. The outcomes of the patients with IHBDS were also compared between patients who were ≥ 3 years of age and those < 3 years at operation. Results: Seventeen of 35 patients underwent laparoscopic resection of IHBDS-causing membrane or septum. There were no complications related to the procedure although the operative time and intraoperative bleeding amount increased in the patients with IHBDS who were ≥ 3 years of age. Conclusions: Meticulous probing and excision of the IHBDS-causing membrane or septum is safe and feasible during laparoscopic choledochal cyst excision.
ファイル公開:2019/10/01
Springer
2018-10
eng
journal article
AM
http://hdl.handle.net/2237/00029101
https://nagoya.repo.nii.ac.jp/records/26898
https://doi.org/10.1007/s00383-018-4320-7
0179-0358
1437-9813
Pediatric Surgery International
34
10
1087
1092
https://nagoya.repo.nii.ac.jp/record/26898/files/Tanaka_Manuscript.pdf
application/pdf
587.5 kB
2019-10-01