Strategy of management for XXXX in early infancy.

@entity1 @entity1087 @entity190 @entity384 @entity254 @entity1575
PURPOSE: The aim of this study was to establish the optimal management strategy of @entity384 ( @entity384 ) in early infancy. METHODS: Over the last 15 years, 14 @entity1 with @entity384 in early infancy (within 5 months), including 3 antenatally diagnosed @entity1 , were treated in the authors' department. Of the 14 @entity1 , 7 (50%) underwent early definitive surgery (E group), and the other 7 (50%) underwent delayed primary definitive surgery after percutaneous transhepatic cholangiodrainage (PTCD; D group). Both groups were compared retrospectively using clinical data. RESULTS: Pretreatment status and backgrounds of the @entity1 were clinically homogeneous between the 2 groups. The total length of hospital stay was significantly longer in the D group. As short-term complications, 1 @entity1 in the E group was compromised with hepatolithiasis, and 3 @entity1 in the D group were compromised with catheter-related complications. Other clinical data, such as age at definitive surgery, @entity190 , pathologic @entity1575 , @entity1087 -free day, and long-term complications were not significantly different between the 2 groups. CONCLUSIONS: The authors propose that the standard of management should be early definitive surgery with wide @entity254 before 2 months of age. However, PTCD might be used under strict consideration of indication and careful management for @entity1 with extremely poor surgical risk.
