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During the last 25 years, from 1969 to 1994, the authors treated 97 choledochal cysts by surgical excision. Biliary reconstruction consisted of 67 hepaticoduodenostomies and 30 hepaticojejunostomies. The common hepatic duct was the site of anastomosis in 9 of the duodenostomies and 13 of the jejunostomies and of the bifurcation of the hepatic ducts in 58 duodenostomies and 17 jejunostomies. Reoperation was required in 10 cases because of recurrent cholangitis with intrahepatic gallstones. Biliary strictures were responsible for the cholangitis in 9 children with anastomoses at the level of the common hepatic duct and in 1 with an anastomosis at the level of the bifurcation. These results suggest that biliary complications develop because of anastomotic stricture or primary ductal stricture, and may be minimised by the creation of a wide anastomosis, which is best accomplished at the hepatic hilum.
T Todani, and
Y Watanabe, and
N Urushihara, and
T Noda, and
Y Morotomi
August 1994,
Journal of the American College of Surgeons,
T Todani, and
Y Watanabe, and
N Urushihara, and
T Noda, and
Y Morotomi
April 2005,
The Tokai journal of experimental and clinical medicine,
T Todani, and
Y Watanabe, and
N Urushihara, and
T Noda, and
Y Morotomi
January 2018,
Journal of Ayub Medical College, Abbottabad : JAMC,
T Todani, and
Y Watanabe, and
N Urushihara, and
T Noda, and
Y Morotomi
March 2009,
Journal of gastrointestinal and liver diseases : JGLD,
T Todani, and
Y Watanabe, and
N Urushihara, and
T Noda, and
Y Morotomi
July 2015,
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie,
T Todani, and
Y Watanabe, and
N Urushihara, and
T Noda, and
Y Morotomi
May 2001,
Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery,
T Todani, and
Y Watanabe, and
N Urushihara, and
T Noda, and
Y Morotomi
May 2010,
Journal of pediatric surgery,
T Todani, and
Y Watanabe, and
N Urushihara, and
T Noda, and
Y Morotomi
August 2019,
Pediatric surgery international,
T Todani, and
Y Watanabe, and
N Urushihara, and
T Noda, and
Y Morotomi
September 2001,
Zhonghua wai ke za zhi [Chinese journal of surgery],
T Todani, and
Y Watanabe, and
N Urushihara, and
T Noda, and
Y Morotomi
November 2006,
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association,
