Hepatocholecystostomy complemental to palliative cholecystoenterostomy

When pallative cholecystoenterostomy is contemplated but the cystic duct is found to be occluded, anastomosis of the hepatic duct to the gallbladder in combination with cholecystoenterostomy is a satisfactory alternative to decompression of the heptic duct by jejunal anastomosis and may be easier to perform. Hepatocholecystostomy is also useful as a simple operative method for restoring continuity when jaundice recurs after cholecystoenterostomy done for cystic duct obstruction.