Extramucosal hepaticojejunostomy.

Francis Sutherland; Elijah Dixon

doi:10.1016/j.amjsurg.2005.03.006

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Extramucosal hepaticojejunostomy.

Francis Sutherland·Elijah Dixon

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Abstract

BACKGROUND: The creation of a secure hepaticojejunostomy is an essential skill for any hepatobiliary surgeon. METHODS: We describe a refined technique of sewing the end of the common hepatic duct to the side of the jejunum. The sutures are placed to include all layers of the bowel wall except mucosa. RESULTS: One hundred eighty-five anastomoses were performed over a 6-year period. There were 3 documented leaks, 1 significant anastomotic bleed, and 2 postoperative strictures. There were no deaths. CONCLUSION: This refined technique facilitates accurate placement of sutures by improving vision and results in a well-vascularized watertight connection.

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Anastomosis, Surgical Hepatic Duct, Common Humans Intestinal Mucosa Jejunum Polydioxanone Prospective Studies Suture Techniques Journal Article

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Francis Sutherland, Elijah Dixon. 2005. Extramucosal hepaticojejunostomy.. https://doi.org/10.1016/j.amjsurg.2005.03.006

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