Bile duct growing factor: an alternate technique for reconstruction of thin bile ducts after iatrogenic injury.
A variant of bilioenteric anastomosis, laterolateral hepatojejunostomy, is described in which the opened anterior aspect of the common hepatic duct and left hepatic duct is anastomosed to a Roux jejunal limb. This technique is specially designed for thin, injured bile ducts in which a conventional anastomosis is difficult due to the small diameter of the ducts. A wide anastomosis is obtained, leaving the posterior wall as a conduit for bile, ensuring an adequate anastomotic diameter.
Mercado
Miguel Angel
MA
Department of Surgery, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico. mercadiazma@yahoo.com
Orozco
Héctor
H
Chan
Carlos
C
Quezada
Carlos
C
Barajas-Olivas
Alexandra
A
Borja-Cacho
Daniel
D
Sánchez-Fernandez
Norberto
N
D000714:Anastomosis, Surgical; D005500:Follow-Up Studies; D006500:Hepatic Duct, Common / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications; D007583:Jejunum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome