Complications in pediatric hepatobiliary surgery

Abstract This review highlights the complications and their risk factors encountered in pediatric hepatobiliary surgery, specifically in the context of pediatric hepatic resection, excision of choledochal cyst and the Kasai hepatoportoenterostomy procedure for biliary atresia as well as other proced...

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Bibliographic Details
Published in:Seminars in pediatric surgery 2016-12, Vol.25 (6), p.388-394
Main Authors: Grisotti, Gabriella, M.D, Cowles, Robert A., M.D
Format: Article
Language:English
Subjects:
Biliary atresia
Biliary Atresia - surgery
Child
Choledochal cyst
Choledochal Cyst - surgery
Hepatectomy
Hepatic resection
Hepaticojejunostomy
Humans
Kasai procedure
Operative complications
Pediatrics
Portoenterostomy, Hepatic
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - therapy
Risk Factors
Specialties, Surgical
Surgery
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Summary:Abstract This review highlights the complications and their risk factors encountered in pediatric hepatobiliary surgery, specifically in the context of pediatric hepatic resection, excision of choledochal cyst and the Kasai hepatoportoenterostomy procedure for biliary atresia as well as other procedures potentially affecting the biliary tree. With the understanding that these are relatively rare procedures case reports and small case series are included in addition to larger series when available. The review focuses on publications in English over the past fifteen years. Complications included both surgery specific pathology, such as biliary stricture after excision of choledochal cyst, and disease specific entities, such as malnutrition in biliary atresia. This review may be useful when considering a particular procedure or in the discussion thereof with a patient and family. Additionally, it illuminates the need for additional work with larger patient databases to refine and expand our knowledge of these complications and precipitating risk factors.
ISSN:1055-8586
1532-9453
DOI:10.1053/j.sempedsurg.2016.10.004