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Pediatr. Surg. Int. · Oct 2015
Hepatic ductoplasty and hepaticojejunostomy to treat narrow common hepatic duct during laparoscopic surgery for choledochal cyst.
- Naoto Urushihara, Koji Fukumoto, Hiroshi Nouso, Masaya Yamoto, Hiromu Miyake, Masakatsu Kaneshiro, Mariko Koyama, and Hideaki Nakajima.
- Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 420-8660, Japan. n-urushihara@i.shizuoka-pho.jp.
- Pediatr. Surg. Int. 2015 Oct 1; 31 (10): 983-6.
AbstractWe describe a novel technique for laparoscopic hepatic ductoplasty and hepaticojejunostomy in choledochal cyst with a narrow common hepatic duct. After complete cyst excision, a longitudinal incision was made in the anterior wall of the narrow common hepatic duct to enlarge the anastomotic opening. Next, the anterior wall was everted, then anchored to the hepatic hilum by suturing. Anchoring of the anterior wall provided a good field of view for creating the anastomosis, and the lumen of the anastomotic region was also secured. We believe that our technique is feasible and useful when the duct size is small.
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