J Korean Assoc Pediatr Surg.  1997 Dec;3(2):93-97. 10.13029/jkaps.1997.3.2.93.

Outcome of Extended Porta Hepatis Dissection and Hepatic Portojejunostomy for Biliary Atresia

• Lee SC

• KMID: 2422245
• DOI: http://doi.org/10.13029/jkaps.1997.3.2.93

Abstract

Extended porta hepatis dissection and hepatic porto jejunostomy was performed on 14 biliary atresia patients during last 13 years by a single surgeon. The average age at operation was 68 days(range from 37 days to 98 days). The patients were admitted for 8 weeks postoperatively for administration of parenteral antibiotics. There was one operative mortality due to acute hepatic necrosis. Among 13 patients remaining, 12(92.5 %) became chemically jaundice-free within 36 weeks postoperatively(average 16.8 weeks), the earliest 8 weeks, and in one patients jaundice persisted. Five( 38.5 %) patients developed cholangitis after operation. Among jaundice-free patients, one patient died of unrelated disease 2 years after hepatic porto jejunostomy, who underwent left lateral segmentectomy because of a biloma. Eleven survivors(78.6 %) are jaundice-free. The oldest one is 13 years old, enjoying a normal life. The mean period of follow-up is 7 years and 3 months.

Keyword

Biliary atresia; Porta hepatis dissection

MeSH Terms

Anti-Bacterial Agents
Biliary Atresia*
Cholangitis
Follow-Up Studies
Humans
Jaundice
Jejunostomy
Mastectomy, Segmental
Mortality
Necrosis
Anti-Bacterial Agents