| Popis: |
In biliary stenosis involving disappearance of hepatic duct, or in re-stricture of hepaticojejunostomy, there is no other solution than to reconstruction the anastomosis, stenting with transhepatic transanastomotic tubes. Until recently, we had been successfully using double transhepatic "U" tubes tied together under hepatic bifurcation. Now, however, we have adopted a variation of our technique consisting in not trying the seton tubes together and having them come out through different orifices of the jejunum. The right tube comes out of the jejunum through the middle of jejunum Roux in "Y" loop. The left tube comes out through the stump of the Roux in "Y" loop. In this manner, the tubes pull the hepaticojejunostomy transversally between them, thus preventing restricture. |
