A new technique for mucosal graft in hepaticojejunostomy for benign lesions of common bile duct.
A new operating technique in hepaticojejunostomy is reported. It consists in a mucosal graft placed on the inside of a sclerotic bile duct. This procedure avoids the need for the placement of the transhepatic tube as requested in Smith's technique. It is indicated for benign lesions (type I and II according to Bismuth and Lazorthes classification) with dilated hepatic duct (over 2 cm in diameter). The follow-up of 11 patients demonstrated that this technique ensures continued patency of the anastomosis without significant complications.
D003137:Common Bile Duct Diseases / Q000601:surgery*; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D007413:Intestinal Mucosa / Q000637:transplantation*; D007583:Jejunum / Q000601:surgery*; D008722:Methods