- Tytuł:
- Buttressing hepaticojejunostomys with hepatic round ligament flap may be beneficial
- Autorzy:
-
Banerjee, Jayant Kumar
Bharathi, Ramanathan Saranga
Rao, Pankaj Purushotam - Powiązania:
- https://bibliotekanauki.pl/articles/1393023.pdf
- Data publikacji:
- 2017
- Wydawca:
- Index Copernicus International
- Tematy:
-
hepatic round ligament/ ligamentum teres hepatis
Bilioenteric anastomosis
Hepaticojejunostomy
Bile leak
Anastomotic stricture
Autologous hepatic round ligament flap - Opis:
- Background: Bile leaks and anastomotic strictures are important complications of hepaticojejunostomy (HJ). Evidence suggests that the use of hepatic round ligament (HRL) to buttress HJ may be beneficial. This study evaluates the feasibility of this approach. Methods: HJs performed over 2 years (Jun 2014- May 2016), with HRL reinforcement, were analyzed. Operative outcomes measured included technical difficulty, blood loss, time necessary for flap harvest, and reinforcement of HJ. The postoperative outcomes measured were the presence of bile leak and anastomotic stricture. Results: Forty-one patients (27 M: 14 F), aged 2-79 years, median age of61 years, underwent HJ with HRL buttress; 27 for periampullary/ head of the pancreas carcinoma; 4 for choledochal cysts; 4 for chronic pancreatitis; 3 for gallbladder carcinoma; 3 for benign biliary stricture. The time for harvesting HRL flaps and buttressing HJ was <10 minutes. No blood was lost during harvesting the flaps. One patient (2.5 %) had grade A leak following radical cholecystectomy, and structures were not observed during a median follow-up of 18 months (6 months to 2years). Conclusion: HRL-based buttressing of HJ can reduce the bile leak and/or stricture rate.
- Źródło:
-
Polish Journal of Surgery; 2017, 89, 4; 5-10
0032-373X
2299-2847 - Pojawia się w:
- Polish Journal of Surgery
- Dostawca treści:
- Biblioteka Nauki
Artykuł