METHOD OF FORMING HEPATICOJEJUNOSTOMY WITH HIGH BILE DUCT INJURY Russian patent published in 2019 - IPC A61B17/11 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgery, and can be used to form hepaticojejunostomy with high bile duct injury. Drainage chlorovinyl tube with diameter of 5 mm is inserted through a free end of the stump of the mobilized intestine and fixed first with a catgut suture, and then with continuous two semi-cartridges. Then, 5–6 cm from the plugged end of the intestine is made, a wall of a mobilized intestine is cut 4 cm long to a submucosal layer. Thereafter, the vessels in the submucosal layer are sutured with the catgut on one and the other side. Intestinal lumen is opened between the rows of applied sutures. Medial angle of the opened lumen of the intestine is then anchored to the round ligament of the liver with long-term absorbable sutures. Further, with a continuous blanket suture, the posterior lip of the intestine behind the hepatic ducts is anchored to the connective tissue structures of the hepatic ligament, the lateral angle of the opened lumen of the jejunum is anchored to the gall bladder bed at the junction of the sagittal sulcus with the lateral ligament. Then anterior lip of jejunum is hemmed in front of hepatic ducts by sutured suture to edge of transverse furrow and tightened suture on round ligament of liver. In the end seromuscular sutures are laid between a Y-shaped loop in the liver gates and separate cicatrical structures.

EFFECT: method enables avoiding the complications associated with injuries of the biliary duct system.

1 cl, 4 dwg