The „inspection jejunostomy“ after complex reconstructions of the central bile ducts – Indications, description of the procedure and personal experience
C Knorr, S Kastl, T Horbach, W Hohenberger · Viszeralchirurgie · 2004 · Heft 09
Bibliografische Angaben
Zusammenfassung
Introduction: A modified Roux-en-Y hepaticojejunostomy with the afferent limb brought up as jejunostomy has been described in 1984 by Hutson and Russell (4). It facilitates endoscopic retrograde access to the biliary tree for control examinations and biopsies in complicated reconstructive procedures after bile duct resection. We report our experience with this operative procedure. Methods: After having performed complicated bile duct resection, the reconstruction was performed as a modified Roux-en-Y hepaticojejunostomy with the 20cm afferent limb brought up as terminal jejunostomy in the right upper abdominal q…