The use of high hepato-jejunostomy in the treatment of biliary ducts injury during cholecystectomy conduction
Skums, A.V.
Klinichna Khirurhiia 2: 19-22
1999
ISSN/ISBN: 0023-2130 PMID: 10330834 Document Number: 498933
The results of hepaticojejunostomy application for the biliary ducts (BD) damage while cholecystectomy conduction as a primary operation (in 35 patients) and as a reoperation (in 16) were analyzed. The basic principles of interventions were: forming of the high hepaticojejunostomy 2cm in width with longitudinal incision of the ductus choledochus anterior wall and the left or both lobar BD, depending on the level of damage; minimal mobilization of the BD medial wall for its devascularization prophylaxis; precisional interrupted one-layer suturing, using atraumatic monofilament threads; exclusion of the Roux-en-Y small bowel segment 70 cm in length. In all the patients the result of treatment was studied up in terms from 1 to 56 months. All the patients have had survived. Positive result was noted in 94.2% of them.