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

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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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Authors and Affiliations

  1. Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan

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

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  1. Yasuyuki Ono
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  2. Kenitiro Kaneko
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  3. Yukio Ogura
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  4. Wataru Sumida
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  5. Takahisa Tainaka
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  6. Takahiko Seo
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  7. Hisami Ando
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Correspondence to Kenitiro Kaneko.

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Ono, Y., Kaneko, K., Ogura, Y. et al. Endoscopic resection of intrahepatic septal stenosis: minimally invasive approach to manage hepatolithiasis after choledochal cyst excision. Pediatr Surg Int 22, 939–941 (2006). https://doi.org/10.1007/s00383-006-1756-y

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  • DOI: https://doi.org/10.1007/s00383-006-1756-y

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