Original Article
Reoperation of biliary-enteric anastomotic stricture after surgery for congenital choledochal cysts
Ma Zhongzhi, Wen Haoquan, Yang Lishun, Wei Renjun, Liu Changjun, Yang Jinhui, Wang Xiaohui, Tian Bingzhang, Yin Xinmin, Peng Chuang, Mao Xianhai, Wu Jinshu
Published 2022-08-25
Cite as Chin J Gen Surg, 2022, 37(8): 597-601. DOI: 10.3760/cma.j.cn113855-20210825-00513
Abstract
ObjectiveTo analyze the causes of postoperative stricture of biliary-enteric anastomotic for congenital choledochal cysts.
MethodsThese 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.
ResultsIn 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.
ConclusionsBiliary-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.
Key words:
Congenital abnormalities; Hepatectomy; Biliary-enteric anastomosis stenosis; Biliary-enteric drainage
Contributor Information
Ma Zhongzhi
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha 410000, China
Wen Haoquan
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha 410000, China
Yang Lishun
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha 410000, China
Wei Renjun
Department of Hepatobiliary Surgery, Longhui People's Hospital, Shaoyang 422200, China
Liu Changjun
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha 410000, China
Yang Jinhui
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha 410000, China
Wang Xiaohui
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha 410000, China
Tian Bingzhang
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha 410000, China
Yin Xinmin
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha 410000, China
Peng Chuang
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha 410000, China
Mao Xianhai
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha 410000, China
Wu Jinshu
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha 410000, China
