Schweizer P, Kirschner H, Schittenhelm C
Department of Pediatric Surgery, University of Tübingen, Germany.
Eur J Pediatr Surg. 2001 Feb;11(1):15-8. doi: 10.1055/s-2001-12192.
Reports on long-term survival rates after Kasai's HPE reveal that 23% of patients are healthy ten and more years after surgery. Therefore we studied again the anatomy and histology of the porta hepatis and the portal tracts in order to improve this surgical procedure.
Autopsied livers of 6 children with and 6 without EHBA were investigated with regard to the topographical and histological anatomy of the major intra- and extrahepatic bile ducts.
On the basis of anatomical findings we have modified the conventional Kasai's HPE and developed an extended exploration of the porta hepatis. The procedure and surgical technique is described in this paper.
关于凯氏肝门空肠吻合术后长期生存率的报告显示，23%的患者在手术后十年及更长时间保持健康。因此，我们再次研究了肝门和门静脉束的解剖结构及组织学，以改进该手术方法。
对6例患有和6例未患肝外胆管闭锁（EHBA）儿童的尸检肝脏进行了主要肝内和肝外胆管的地形学和组织学解剖研究。
基于解剖学发现，我们改进了传统的凯氏肝门空肠吻合术，并开展了肝门的扩大探查。本文描述了该手术步骤及手术技巧。
