[
Abstract]
[
Full Text PDF] （in Japanese / 1528KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 79(8): 773-776, 1978
Report on the annual meeting
RECONSTRUCTIVE OPERATION FOR POSTOPERATIVE STRICTURE AT THE UPPER PORTION OF THE BILE DUCT
In cases with postoperative stricture at the upper portion of the bile duct, reconstructive operation should be performed in a following manner. When, after excising the strictured portion of the bile duct, two hepatic ducts are seen to lie close to one another, these two ducts should be sutured together and septum between them should be divided in order to create a new common hepatic duct. The new common hepatic duct may now be anastomosed to the jejunum. If the two hepatic ducts are widely separated, each duct should be anastomosed to the proximal jejunum.
The most important point in the reconstructive operation of biliary tract is to obtain healthy bile duct tissue and appose its mucosa precisely to that of the jejunum.
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