METHOD Extraperitoneal hepatic duct DRAINAGE IN Hepaticojejunostomy

摘要

Method extraperitoneal drainage hepatic ducts at hepaticojejunostomy, zaklyuchayuschiyya that retrogradely conducted bougie through the defect in the region of the merger of the right and left hepatic ducts in the left hepatic duct to circular liver ligament opening peritoneum liver round ligament over the end bougie passed and then left hepatic duct at the tip bougie passed conducted under visual control, through the uncovered left hepatic duct in the opposite direction is carried perforated drainage buzhom recoverable after a defect extrahepatic the first duct and below it, a proximal drainage end outputted through the left hepatic duct, through an additional incision of peritoneum liver round ligament outputted preperitoneal fiber and then through an additional incision of abdominal wall on the skin with fixing drainage to the skin impose a rear wall gepatkoeyunoanastomoza, a cut of small intestine distal end of the drainage is carried out in the right hepatic duct until it stops, then recovered and applied in the drain hole, between the left and right hepatic ducts to drain as do long hole retaining a drainage wall webs to create drainage of bile from the duct and from the gut lumen end extracted drainage is reset and sutured to the front wall gepatikoeyunoanastomoza drainage fixed to the skin is filled with saline and lowered below the axillary line.