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December 1960

Salvage of the "Noncorrectable" Case of Congenital Extrahepatic Biliary Atresia

Author Affiliations

San Francisco
From the Surgical Services of Mary's Help Hospital.

Arch Surg. 1960;81(6):893-898. doi:10.1001/archsurg.1960.01300060039009

Until recently, cases of congenital biliary atresia without ducts of adequate size presenting themselves in the region of the porta hepatis, so that a communication could be established between these and the upper gastrointestinal tract, were considered noncorrectable. Unfortunately, such cases constituted the majority; only 22% of cases of congenital biliary atresia in a collected series by Schnug were found to be amenable to such surgical repair.9

It now appears that some of these socalled "noncorrectable" cases may be salvaged and that a "second look" operation may be indicated. There is now substantial evidence that, in some instances, the development of the bile ducts is merely retarded in these cases, that growth continues after birth, and structures permitting correction will appear after a few months.3-5,8 It is the purpose of this paper to review these facts and present the operative and autopsy findings in 2 additional cases. In

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