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Innovative modification of the hepatic portoenterostomy. Our experience of treating biliary atresia.

Abstract：

:We modified conventional hepatic portoenterostomy by pulling the remnant fibrous mass caudally and placing 5 or 6 numbered and individually clamped absorbable 5-0 double-needle sutures horizontally in the liver surface of the posterior side of the remnant fibrous mass before excision and apposing the posterior and anterior margins of the hepatic portoenterostomy to resemble a flattened isosceles triangle. Our technique was used to treat 14 cases of biliary atresia. Good postoperative biliary excretion (serum total bilirubin, <2 mg/dL) was achieved in 13 (92.9%) of 14 patients.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Kobayashi H,Yamataka A,Urao M,Okazaki T,Yanai T,Koga H,Lane GJ,Miyano T

doi

10.1016/j.jpedsurg.2005.12.056

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

e19-22

issue

5

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(05)01024-9

journal_volume

41

pub_type

杂志文章

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