[The use of high hepato-jejunostomy in the treatment of biliary ducts injury during cholecystectomy conduction].
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.
D000328:Adult; D000368:Aged; D001652:Bile Ducts / Q000293:injuries*; D002763:Cholecystectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D007582:Jejunostomy / Q000379:methods*; D007583:Jejunum / Q000601:surgery*; D008099:Liver / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies