Hepatico-jejunostomy by the R. Smith-technique for the repair of central biliary ducts
Franke, F.; Mühe, E.; Gebhardt, C.; Bötticher, R.
Zentralblatt für Chirurgie 106(15): 1025-1032
1981
ISSN/ISBN: 0044-409X PMID: 7293542 Document Number: 177340
In order to repair a lesion of the proximal biliary duct, a wide anastomosis without tension and without reflux of intestinal content is required. If a biliary-intestinal anastomosis is technically not possible the R. Smith-procedure may be applied. For this purpose a segment of jejunum without serosal layer is pulled over a catheter into the biliary duct and the catheter fixed outside the abdomen. 11 good long-term results and 2 recurrences of stenoses could be observed by this method.