INSTRUCTIONAL VIDEO FOR HEPATICOJEJUNOSTOMY ANASTOMOSIS ENSURING EVENLY SPACED SUTURES
Mujtaba Mubashir*, Jesse Rappaport, R Matthew Walsh
Cleveland Clinic, Cleveland, OH
We demonstrate a surgical technique involving construction of a hepaticojejunostomy (HJ) anastomosis that ensures even spacing between the sutures regardless of the size of the common bile duct. This is demonstrated via a series of illustrations followed by live demonstration of a HJ anastomosis created during a Whipple procedure. Overall, this technique results in the creation of a tension-free hepaticojejunostomy anastomosis, that typically does not require stenting, is highly reliable and replicable regardless of the size of the common bile duct.
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