Related Experiment Video
Updated: Aug 8, 2026
Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
Hepatic Portocholecystostomy: 97 Cases From a Single Institution
Géraldine Hery1, Emmanuel Gonzales, Olivier Bernard
1*Department of Pediatric Surgery, Bicetre's Hospital †Department of Pediatric Hepatology, Bicetre's Hospital, Le Kremlin-Bicètre, France.
Objectives:
Approximately 20% of cases of biliary atresia do not involve the gallbladder, the cystic duct, and the common bile duct. In these cases, a hepatoportocholecystostomy (HPC) may be performed instead of the classical hepatoportoenterostomy (HPE).
Methods:
We reviewed our cohort to investigate the efficacy of HPC and the associated surgical complications and clinical problems.
Results:
From 1984 to 2009, 97 patients underwent HPC in our institution. In the first 6 months of the postoperative period no patient presented with bacterial cholangitis. Nine patients had bile leakage, and 1 patient had a gallbladder obstruction. For these 10 patients, HPC was modified in HPE. Jaundice clearance was maintained after HPE, but 4 of the patients presented 1 or more cholangitis episodes. After 6 months, there were no cases of cholangitis recorded, 2 patients presented bile leakage and 4 patients experienced gallbladder obstruction. After 5 years of follow-up, 46% of the patients were jaundice free with their native liver and 29.4% were transplanted.
Conclusions:
In patients with biliary atresia with patent extrahepatic bile ducts, hepatoportocholecystomy is a good surgical technique that can prevent cholangitis. These results are counterbalanced by specific surgical complications that need to be known and looked for in the postoperative period.
