Reoperation of biliary-enteric anastomotic stricture after surgery for congenital choledochal cysts
10.3760/cma.j.cn113855-20210825-00513
- VernacularTitle:先天性胆管囊状扩张症术后胆肠吻合口狭窄再次手术分析
- Author:
Zhongzhi MA
1
;
Haoquan WEN
;
Lishun YANG
;
Renjun WEI
;
Changjun LIU
;
Jinhui YANG
;
Xiaohui WANG
;
Bingzhang TIAN
;
Xinmin YIN
;
Chuang PENG
;
Xianhai MAO
;
Jinshu WU
Author Information
1. 湖南师范大学附属第一医院/湖南省人民医院肝胆外科，长沙 410000
- Keywords:
Congenital abnormalities;
Hepatectomy;
Biliary-enteric anastomosis stenosis;
Biliary-enteric drainage
- From:
Chinese Journal of General Surgery
2022;37(8):597-601
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the causes of postoperative stricture of biliary-enteric anastomotic for congenital choledochal cysts.Methods:These 28 patients underwent salvage operation on an average 15 years (0.2-25 years) after initial surgeries at the Department of Hepatobiliary Surgery, Hunan Provincial People's Hospital from Jan 2014 to Jun 2018.Results:In 26 patients the biliary-enteric anastomotic stenosis was benign, and in 2 the stricture was caused by cancerration. In 26 cases the Roux-en-Y hepaticojejunostomy was redone,among them 8 cases underwent concurrent hepatectomy for a better exposure of the intrahepatic bile duct. In 2 cases the anastomotic stenosis was found to be caused by canceration with extensive intraabdominal metastasis ,an external drainage was adopted. There were no inhospital deaths, and no serious complications. The postoperative follow-up time was 6-67 months. Two cancerated patients died within half a year, and the remaining patients had no long-term complications.Conclusions:Biliary-enteric anastomotic stenosis is one of the serious complications in postoperative patients for congenital choledochal cysts. Hence a wide, tension free biliary-enteric anastomosis performed by a experienced hand is necessary.
