Laparoscopic reconstructive surgery by biliary tract malformations in children

Treatment results of 18 children operated on various biliary tract malformations were analyzed. Laparoscopic portoenteroanastomosis by Kasai was performed in 10 patients with biliary atresia aged from 10 days to 3,5 months. Average weight of the operated children was 3640 +/- 124 g. 8 patients aged...

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Published inHirurgija (Moskva) no. 10; p. 33
Main Authors Razumovskiĭ, A Iu, Rachkov, V E, Kulikova, N V, Alkhasov, A B, Mitupov, Z B
Format Journal Article
LanguageRussian
Published Russia (Federation) 2009
Subjects
Adolescent
Anastomosis, Surgical
Biliary Tract - abnormalities
Biliary Tract Diseases - congenital
Biliary Tract Diseases - diagnosis
Biliary Tract Diseases - surgery
Child
Child, Preschool
Follow-Up Studies
Humans
Infant
Infant, Newborn
Laparoscopy - methods
Reconstructive Surgical Procedures - methods
Retrospective Studies
Treatment Outcome
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Summary:Treatment results of 18 children operated on various biliary tract malformations were analyzed. Laparoscopic portoenteroanastomosis by Kasai was performed in 10 patients with biliary atresia aged from 10 days to 3,5 months. Average weight of the operated children was 3640 +/- 124 g. 8 patients aged from 2 to 15 years operated on cystic common bile duct malformation. Laparoscopic dissection of cystic deformated biliary ducts with Roux-en-Y hepaticoenterostomy was performed in these cases. 5 troacars were used for both operations. First stage of portoenteroanastomosis formation represented of laparoscopic portal fibrous plate separation. By cystic common bile duct malformations, altered bile ducts were dissected. The second stage--Roux-en-Y enteroenteroanastomosis--was performed through a paraumbilical microincision. Portal anastomosis or common bile duct anastomosis was performed also laparoscopically. Recovery of patients was observed in all cases. Early postoperative course demonstrated a low invasiveness of the method. Thus, laparoscopic access can become a method of choice in treatment of biliary tract malformations in children.
ISSN:0023-1207