Laparoscopic One-Stage Radical Surgery for Congenital Biliary Dilatation With Biliary Perforation

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  • Ishii Hiroki
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Makita Satoshi
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Yasui Akihiro
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Takimoto Aitaro
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Yokota Kazuki
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Sumida Wataru
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Tainaka Takahisa
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Shirota Chiyoe
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Uchida Hiroo
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine

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Other Title
  • 胆管穿孔をきたした先天性胆道拡張症に対して，腹腔鏡下に一期的根治術を施行した1例
  • タンカン センコウ オ キタシタ センテンセイタンドウ カクチョウショウ ニ タイシテ,フククウキョウ カ ニ イチゴテキ コンジジュツ オ シコウ シタ 1レイ

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Abstract

<p>A 21-month-old girl with chief complaints of vomiting and fever was admitted to a hospital and diagnosed as having congenital biliary dilatation. Magnetic resonance imaging performed on the sixth day of hospitalization revealed bile duct perforation, and the patient was transferred to our department for further treatment. A perforation approximately 2 cm in diameter was found at the confluence of the common bile duct and cystic duct. We concluded that biliary drainage and repair of the perforation would not improve her pathophysiology. Therefore, laparoscopic one-stage radical surgery was performed. In addition, bile duct plasty was performed to treat the severe intrahepatic bile duct membranous stenosis that were observed in the right and left bile ducts of the hepatic hilum. The patient was discharged without complications on the tenth postoperative day.</p><p>Two-stage surgery is the recommended treatment method for congenital biliary dilatation with biliary perforation. However, in recent years, there have been few reports showing that one-stage open radical surgery is useful. In this case, we successfully performed laparoscopic one-stage radical surgery for congenital biliary dilatation with biliary perforation. If laparoscopic radical surgery for congenital biliary dilatation is established at the institution, and the patient is in good general condition, laparoscopic one-stage radical surgery may be an effective modality for treating this condition.</p>

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