Biliary reconstruction in benign postoperative stricture with transhepatic tubes.
This study reports our experience with 31 patients who underwent biliary reconstructions due to iatrogenic lesions of the main biliary tract. The technique of Hepp and Couinaud, associated with the use of transhepatic Silastic tubes, was utilized in 90% of the patients, and the mucosal graft was employed in only three patients. The recommended time for keeping the transhepatic tube in place was 6 months. In order to prevent subphrenic fluid collection between the tube exit orifice in the hepatic parenchyma and the abdominal wall, the tubes were protected with a Penrose drain over the course of their use. This tactic appeared effective. The immediate postoperative mortality was 9%, and the long-term results, with a mean follow-up period of 44 months, were considered good in 92% of the patients who survived surgery.
Pereira-Lima
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Department of Surgery, Fundação Faculdade Federal de Ciências Médicas de Porto Alegre and UFRGS, Santa Casa Hospital, Brazil.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y; D000714:Anastomosis, Surgical; D002423:Cause of Death; D003135:Common Bile Duct / Q000293:injuries* / Q000601:surgery; D003251:Constriction, Pathologic / Q000601:surgery; D004322:Drainage / Q000295:instrumentation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation