The difficult hepaticojejunostomy after pancreatic head resection: reconstruction with a T tube.

@article{Herzog2013TheDH,
  title={The difficult hepaticojejunostomy after pancreatic head resection: reconstruction with a T tube.},
  author={Torsten Herzog and Orlin Belyaev and Philipp Bakowski and Ansgar Michael Chromik and Monika Janot and Dominique Suelberg and Waldemar Uhl and Matthias Hartmut Seelig},
  journal={American journal of surgery},
  year={2013},
  volume={206 4},
  pages={578-85}
}
BACKGROUND After pancreatic head resection, bile leaks from a difficult hepaticojejunostomy secondary to a small or fragile common hepatic duct may be reduced by a T tube at the side of the anastomosis. METHODS A retrospective analysis of patients who underwent a difficult hepaticojejunostomy without or with a T tube was performed. RESULTS In 48% (55/114) of patients, a T tube was placed at the side of the hepaticojejunostomy; 52% (59/114) did not have a T tube. Bile leaks occurred in 12… CONTINUE READING

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