INTRODUCTION: A modified Roux-en-Y hepaticojejunostomy that allows postoperative endoscopic access was first described in 1984. We report our experience with this operative procedure. METHODS: After complicated bile duct resection, reconstruction was performed as a modified Roux-en-Y hepaticojejunostomy, with the 20 cm afferent limb brought up as in terminal jejunostomy in the right upper abdominal quadrant. Postoperative follow-up consisted of endoscopic and radiologic control of the biliary tree every 3 months for 1 year; ileostomy resection was performed 1 year later if the postoperative course was undisturbed. RESULTS: From March 1995 to February 2002, we performed this operation in 17 patients (mean age 56 years). The endoscopic and radiologic (cholangiography) diagnostic procedures--every 3 months postoperatively--were uneventful. CONCLUSIONS: The modified Roux-en-Y hepaticojejunostomy described here permits good control and intervention in complicated surgery for bile duct lesions, tumor resection with unclear resectional margins, and recurrent intrahepatic stone formation.
INTRODUCTION: A modified Roux-en-Y hepaticojejunostomy that allows postoperative endoscopic access was first described in 1984. We report our experience with this operative procedure. METHODS: After complicated bile duct resection, reconstruction was performed as a modified Roux-en-Y hepaticojejunostomy, with the 20 cm afferent limb brought up as in terminal jejunostomy in the right upper abdominal quadrant. Postoperative follow-up consisted of endoscopic and radiologic control of the biliary tree every 3 months for 1 year; ileostomy resection was performed 1 year later if the postoperative course was undisturbed. RESULTS: From March 1995 to February 2002, we performed this operation in 17 patients (mean age 56 years). The endoscopic and radiologic (cholangiography) diagnostic procedures--every 3 months postoperatively--were uneventful. CONCLUSIONS: The modified Roux-en-Y hepaticojejunostomy described here permits good control and intervention in complicated surgery for bile duct lesions, tumor resection with unclear resectional margins, and recurrent intrahepatic stone formation.
Authors: D G Hutson; E Russell; J Yrizarry; J U Levi; A S Livingstone; J Guerra; R Reddy; L Jeffers; E R Schiff; T Scagnelli; K Mendez Journal: Am J Surg Date: 1998-02 Impact factor: 2.565
Authors: P Neuhaus; S C Schmidt; R E Hintze; A Adler; W Veltzke; R Raakow; J M Langrehr; W O Bechstein Journal: Chirurg Date: 2000-02 Impact factor: 0.955
Authors: O F Bathe; J T Pacheco; P B Ossi; D Franceschi; D Sleeman; D G Hutson; E Russell; J U Levi; A S Livingstone Journal: Surgery Date: 2000-05 Impact factor: 3.982
Authors: H Goessmann; S A Lang; S Fichtner-Feigl; M N Scherer; H J Schlitt; C Stroszczynski; A G Schreyer; A A Schnitzbauer Journal: Chirurg Date: 2012-12 Impact factor: 0.955