Biliary stricture following hepatic resection.
Biliary stricture following hepatic resection.
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DOI：
10.1155/1991/81895
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发表时间：
1991
期刊：
影响因子：
--
通讯作者：
Blumgart LH
中科院分区：
文献类型：
--
作者：
Matthews JB;Gertsch P;Baer HU;Schweizer WP;Blumgart LH
Anatomic distortion and displacement of hilar structures due to liver lobe atrophy and hypertrophy occasionally complicates the surgical approach for biliary stricture repair. Benign biliary stricture following hepatic resection deserves special consideration in this regard because the inevitable hypertrophy of the residual liver causes marked rotation and displacement of the hepatic hilum that if not anticipated may render exposure for repair difficult and dangerous. Three patients with biliary stricture after hepatectomy illustrate the influence of hepatic regeneration on attempts at subsequent stricture repair. Following left hepatectomy, hypertrophy of the right and caudate lobes causes an anteromedial rotation and displacement of the portal structures. After right hepatectomy, the rotation is posterolateral, and a thoracoabdominal approach may be necessary for adequate exposure. Radiographs obtained in the standard anteroposterior projection may be deceptive, and lateral views are recommended to aid in operative planning.
