Kimura K, Tsugawa C, Kubo M, Matsumoto Y, Itoh H
J Pediatr Surg. 1979 Feb;14(1):27-32. doi: 10.1016/s0022-3468(79)80571-0.
During the past 8 yr, 37 patients with a noncorrectable type of biliary atresia have undergone hepatic portoenterostomy or portocholecystostomy at the Kobe Children's Hospital. The hepatic portal dissections employed in this series were classified as "supraportal" (9 procedures), "portal" (25 procedures), and "infra-portal" (3 procedures) based on the level at which the fibrous mass at the porta hepatis was transsected as determined by the operative record and the pathologic findings. Successful biliary drainage was achieved in 19 out of 25 patients (76%) with a "portal" type of dissection, while 1 out of 9 with "supra-portal" and none out of 3 with "infra-portal" type dissections were successful in this respect. Of the 19 patients who achieved significant biliary flow, 8 have lived for 2--7 yr without jaundice and 3 others are jaundice-free for shorter intervals.
在过去8年中，37例患有不可矫正型胆道闭锁的患儿在神户儿童医院接受了肝门肠吻合术或肝门胆囊吻合术。根据手术记录和病理结果所确定的肝门处纤维块的横断水平，本系列采用的肝门解剖分为“肝门以上”（9例手术）、“肝门处”（25例手术）和“肝门以下”（3例手术）。25例“肝门处”解剖类型的患者中有19例（76%）实现了成功的胆汁引流，而9例“肝门以上”解剖类型的患者中有1例成功，3例“肝门以下”解剖类型的患者均未成功。在实现显著胆汁流动的19例患者中，8例已无黄疸存活2至7年，另外3例在较短时间内无黄疸。
