Hepaticocholecystojejunostomy as a simple technique for decompression of the biliary tract.
A technique for decompressing the biliary tree obstructed by tumors in the upper part of the bile duct is described. It involves draining intrahepatic bile ducts through the gallbladder to a loop of the jejunum. The problem of bleeding is obviated by compression of the crushed liver by the balloon of a Foley catheter which also forms a temporary drain. Only two simple anastomoses are involved and complications are avoided if due attention is paid to the anatomy of the bed of the gallbladder.
D001652:Bile Ducts / Q000601:surgery*; D001661:Biliary Tract Neoplasms / Q000601:surgery; D001662:Biliary Tract Surgical Procedures; D002779:Cholestasis / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D005704:Gallbladder / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008099:Liver / Q000601:surgery*; D010166:Palliative Care; D012086:Reoperation