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

Pediatr Surg Int. 2006 Nov;22(11):939-41. doi: 10.1007/s00383-006-1756-y.

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.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Choledochal Cyst / surgery*
  • Cholestasis, Intrahepatic / complications
  • Cholestasis, Intrahepatic / surgery*
  • Endoscopy, Digestive System*
  • Female
  • Humans
  • Lithiasis / etiology
  • Lithiasis / surgery*
  • Liver Diseases / etiology
  • Liver Diseases / surgery*
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery*