A simple modification of choledochoenterostomy using continuous pull through suture.

Abstract

A simple modification of choledochoenterostomy is described. Using continuous suture and pull through technique, the posterior line of the anastomosis is completed without immediate approximation of the two structures. By improving the access, good control of the posterior suture line is ensured, the risk of anastomotic leakage is minimized and the use of stent or T tube is unnecessary.