METHOD FOR EXTRAPERITONEAL DRAINAGE OF HEPATIC DUCTS IN HEPATICOJEJUNOSTOMY

摘要

FIELD: medicine.;SUBSTANCE: dilator is retrograde inserted into the left hepatic duct until reaching the round ligament of liver. A visually controlled perforated drain tube is delivered backwards on the dilator tip. A tube is brought out through an additional incision of the round ligament of liver onto the abdominal wall skin. A posterior wall of a hepaticojejunoanastomosis is created. A distal end of the drain tube is delivered into the right hepatic duct all the way in. That is followed by removing, perforating the drain tube and placing it into an initial position. The drain tube with the long cut-out hole from the right hepatic duct is hooked into the cavity of the anastomosed intestine. The anterior wall of the hepaticojejunoanastomosis is sutured. The drain tube is fixed to the skin.;EFFECT: method provides the simpler and less traumatic drainage procedure of the hepatic ducts, preventing the inconsistency of biliodigestive fistulas.;1 ex