Resumo

PEREIRA, Freddy; VENALES, Yajaira  e  SALAZAR, Francisco. Technical details of double Roux-en-Y hepaticojejunostomy based on a clinical case description. rev. colomb. cir. [online]. 2019, vol.34, n.2, pp.179-184. ISSN 2011-7582.  https://doi.org/10.30944/20117582.112.

Roux-en-Y hepato-jejunostomy (RYHJ) is the technique of choice for the surgical treatment of bile duct injuries (BDI), such as section or resection. The loss of the hepatic confluence (LHC) increases the technical difficulties during the procedure and, in some of these patients, a doble-RYHJ is required to achieve a long term successful result.

We report the technical aspects of the surgical technique as well as the results, based on the case of a young female patient with BDI and LHC. The patient shows a satisfactory evolution and remains asymptomatic during the 12 months of follow up. Double RYHJ, although technically demanding, resulted a safe option for treating this patient.

Palavras-chave : bile ducts; bile ducts, extrahepatic; biliary tract surgical procedures; intraoperative complications; jejunum; anastomosis, Roux-en-Y.

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