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01-11-2006 | Original Article

Endoscopic resection of intrahepatic septal stenosis: minimally invasive approach to manage hepatolithiasis after choledochal cyst excision

Authors: Yasuyuki Ono, Kenitiro Kaneko, Yukio Ogura, Wataru Sumida, Takahisa Tainaka, Takahiko Seo, Hisami Ando

Published in: Pediatric Surgery International | Issue 11/2006

Abstract

Intrahepatic calculi frequently form after excision of a choledochal cyst. Biliary stenosis is one of the major causative factors. When stenoses exist in the peripheral intrahepatic duct, hepatectomy is necessary. A new endoscopic management was performed in a 6-year-old girl, who had intrahepatic calculi, 4 years after cyst excision. A septal stenosis in the left lateral anterior branch of the bile duct interfered with evacuation of the intrahepatic stones. The stenosis was grasped with a 3-prong grasper, applied through a choloangioscope, and resected when current was applied to an electrocauery. The stenotic bile duct was widened, and the stones were easily removed. Intrahepatic calculi have not recurred for 2 years. The present technique is another modality for the correction of biliary stenoses.

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Title: Endoscopic resection of intrahepatic septal stenosis: minimally invasive approach to manage hepatolithiasis after choledochal cyst excision
Authors: Yasuyuki Ono
Kenitiro Kaneko
Yukio Ogura
Wataru Sumida
Takahisa Tainaka
Takahiko Seo
Hisami Ando
Publication date: 01-11-2006
Publisher: Springer-Verlag
Published in: Pediatric Surgery International / Issue 11/2006
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-006-1756-y

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Endoscopic resection of intrahepatic septal stenosis: minimally invasive approach to manage hepatolithiasis after choledochal cyst excision

Abstract

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Springer Medicine

Abstract

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