title: 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 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 15 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.
authors.affiliation: Department of Surgery, Yale School of Medicine, 333 Cedar St, FMB 131, P.O. Box 208062, New Haven, Connecticut 06520.
authors.forename: Gabriella
authors.initials: G
authors.lastname: Grisotti
authors.affiliation: Department of Surgery, Yale School of Medicine, 333 Cedar St, FMB 131, P.O. Box 208062, New Haven, Connecticut 06520. Electronic address: robert.cowles@yale.edu.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Cowles
mesh_terms: D001656:Biliary Atresia / Q000601:surgery*; D002648:Child; D015529:Choledochal Cyst / Q000601:surgery*; D006498:Hepatectomy; D006801:Humans; D010372:Pediatrics; D011171:Portoenterostomy, Hepatic; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D012307:Risk Factors; D013043:Specialties, Surgical
keywords: Biliary atresia; Choledochal cyst; Hepatic resection; Hepaticojejunostomy; Kasai procedure; Operative complications