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ID 40154
タイトル(別表記)
Report of a case of severe mechanical joundice -Successfully treated by jejuno-hepatic ducts anastomoses
著者
野一色 泰晴 岡山大学温泉研究所リハビリテーション医学部門
小竹森 通明 岡山大学温泉研究所リハビリテーション医学部門
古元 嘉昭 岡山大学温泉研究所リハビリテーション医学部門
仲原 泰博 岡山大学温泉研究所リハビリテーション医学部門
抄録
Jejuno hepatic ducts anastomoses were successfully performed by carefull managements. Because of dense adhesion at hilus of liver, around the gall bladder and choledocus, dissection of common duct, cystic duct, hepatic ducts and even gall bladder was very difficult anatomically. Resecting a inflammatory granulative tumor, including gall bladder, choledocus, lesser omentum and hepatocluodenal ligament en mass, we found that only very short hepatic ducts with inflammatory granulation tissue were remained open. Reconstruction of biliary passages was done using Roux. Y. method with loop jejunum. It needed very carefull procedure to avoid suture failure, ascending infection (cholangitis) and postoperative stenoses at the site of the anastomoses. The anastomoses were performed using atraumatic 3-0 Tefdek ; interrupted and each big bite of duct wall together with surrounding thickend granulative tissue, in order to keep capillary blood supply effective and to minimize the anastomotic trauma which were very important for wound healing. Patient is healthy, enjoying his normal life and his liver function tests are within normal range, 1 1/2 years postoperatively.
備考
原著論文 (Original Paper)
発行日
1972-03-25
出版物タイトル
岡山大学温泉研究所報告
出版物タイトル(別表記)
Papers of the Institute for Thermal Spring Research, Okayama University
41巻
出版者
岡山大学温泉研究所
出版者(別表記)
Institute for Thermal Spring Research, Okayama University
開始ページ
57
終了ページ
62
ISSN
0369-7142
NCID
AN00032853
資料タイプ
紀要論文
言語
Japanese
論文のバージョン
publisher
査読
無し
Eprints Journal Name
mmc