Sarfaraz Baig, MS, FRCS. Belle Vue Clinic
Laparoscopic treatment of choledochal cyst is technically challenging. Leak stays the major cause of morbidity.
With time, we have changed our technique of hepaticojejunostomy to include the use of staplers. With this technique, we are able to reduce the tension on the anastomosis as well as have makes the anastomosis easier technically.
At first, a seromuscular layer is taken posteriorly between the posterior common hepatic duct and jejunum. The anastomosis is done with 3-0 PDS as a continuous layer posteriorly taking the staple line. The anterior layer is done with interrupted PDS sutures.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95915
Program Number: V230
Presentation Session: Video Loop Day 2
Presentation Type: VideoLoop