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[Hepaticojejunostomy for intrahepatic lithiasis. Complementary procedures].

Presse Medicale (Paris, France : 1983)

|April 21, 1984

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Double trans-hepatic drainage and cutaneous jejunostomy aid hepatico-jejunostomy for intrahepatic stones. These techniques enable post-operative biliary tree flushing and endoscopic removal of residual stones.

Area of Science:

Hepatobiliary Surgery
Gastroenterology
Surgical Innovation

Context:

Intrahepatic lithiasis presents challenges in complete stone removal.
Hepatico-jejunostomy is a surgical approach for managing intrahepatic stones.
Residual stones can lead to complications and require further intervention.

Purpose:

To describe a surgical technique combining hepatico-jejunostomy with double trans-hepatic drainage and cutaneous jejunostomy.
To evaluate the utility of this combined approach for managing intrahepatic stones.
To facilitate post-operative biliary tree irrigation and endoscopic stone removal.

Summary:

The described technique involves hepatico-jejunostomy augmented by double trans-hepatic drainage and cutaneous jejunostomy.

Related Experiment Videos

Double trans-hepatic drainage allows for post-operative washing of the biliary tree and flushing of residual stones.

Cutaneous jejunostomy provides access for endoscopic removal of intrahepatic stones that remain in situ.

Impact:

This combined approach offers a comprehensive strategy for treating intrahepatic lithiasis.
It potentially reduces the need for re-operation by enabling effective post-operative stone clearance.
The technique enhances the management of complex intrahepatic stone disease.