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- Title
Biliodigestive Anastomosen.
- Authors
Goessmann, H.; Lang, S.A.; Fichtner-Feigl, S.; Scherer, M.N.; Schlitt, H.J.; Stroszczynski, C.; Schreyer, A.G.; Schnitzbauer, A.A.
- Abstract
Techniques for biliodigestive anastomoses are a frequent indication in primary surgical interventions. Moreover, they are required to manage secondary complications of hepatobiliary surgery. Evidence for the management of complications following biliodigestive anastomoses is low. Biliodigestive anastomoses can be performed as hepaticojejunostomy, hepatojejunostomy/portoenterostomy and hepaticoduodenostomy using running or single stitch suture techniques. Complication management in the hands of experienced hepatopancreatobiliary surgeons should consider a time delay to the primary operation and an interdisciplinary surgical and/or endoscopic or radiologic interventional approach. The therapy may be protracted and requires repeated critical reflection of the particular complication.
- Subjects
ARTERIOVENOUS anastomosis; BILIARY tract surgery; SUTURING; SURGICAL complications; OPERATIVE surgery; THERAPEUTICS
- Publication
Der Chirurg, 2012, Vol 83, Issue 12, p1097
- ISSN
0009-4722
- Publication type
Article
- DOI
10.1007/s00104-012-2365-z