ANASTOMOSIS BILIOENTERICA PDF

Medicine[ edit ] A network of blood vessels An anastomosis is the connection of two normally divergent structures. The circulatory anastomosis is further divided into arterial and venous anastomosis. Arterial anastomosis includes actual arterial anastomosis e. Surgical[ edit ] An example of surgical anastomosis occurs when a segment of intestine , blood vessel, or any other structure are connected together anastomosed. Examples include intestinal anastomosis, Roux-en-Y anastomosis or ureteroureterostomy. These are usually referred to as fistulas.

Author:Tasar Zologor
Country:Panama
Language:English (Spanish)
Genre:Technology
Published (Last):15 March 2008
Pages:12
PDF File Size:11.56 Mb
ePub File Size:14.34 Mb
ISBN:223-2-57243-886-3
Downloads:50780
Price:Free* [*Free Regsitration Required]
Uploader:Fejin



Roux-en-Y hepaticojejunostomy is the procedure of choice for biliary reconstruction and only a few laparoscopically treated cases has been reported. Case report: A year old male who underwent laparoscopic fundoplication plus cholecystectomy showed a Bismuth I type biliary injury with common bile duct transection.

The injury was diagnosed at the third postoperative day and was reconstructed at the sixth day after surgery using a laparoscopic Roux-en-Y hepatic-jejunostomy with five ports. After 17 months, an open redo of the hepaticojejunostomy was required due to stenosis. Conclusion: Laparoscopic Roux-en-Y hepaticojejunostomy appears to be feasible and safe for a selected group of patients with biliary injuries.

Patients like the one reported are ideal candidates to consider a laparoscopic approach. Farello et al. Figura 1. Se utilizaron 5 puertos, 4 de 5 mm y 1 de 10 mm, lente de 30 grados y 5 mm, y neumoperitoneo a 14 mmHg. Se coloca drenaje tipo Biovac de 19 Fr en el espacio hepatorrenal.

Figura 2. Figura 3. Cierre de la cara posterior completo. Figura 4. El caso reportado en el presente difiere en cuanto al tiempo de estancia hospitalaria, el cual fue significativamente prolongado debido a una fuga biliar de bajo gasto controlada y a un derrame pleural derecho. Autor para correspondencia: Tepic Int P J. Reyes Zamorano.

JUNQUEIRA HISTOLOGIE PDF

Incidencia de estenosis de la hepaticoyeyunostomía después de una anastomosis hepaticoyeyunal

A pesar de sus ventajas, no es factible realizar una ADTT en todos los pacientes []. Kasahara y col. Damrah y col. La morbilidad, mortalidad, recidiva de la enfermedad y sobrevida del injerto y del paciente. Resultados similares han sido presentados en otros estudios []. Tanaka y col. Liu y col.

BA10324AF PDF

A history of the bilioenteric anastomosis.

Percutaneous transhepatic treatment of postoperative bile leaks: After 6 months of stenting, repeat cholangiogram and stent retrieval can be performed. In situations when this approach is unusable, techniques for percutaneous stent retrieval also exist. Subsequent dilations and catheter exchanges can usually be performed on an outpatient basis. Sign in to customize your interests Sign in to your personal account.

EDOUARD GLISSANT POETICS OF RELATION PDF

Anastomosis

Roux-en-Y hepaticojejunostomy is the procedure of choice for biliary reconstruction and only a few laparoscopically treated cases has been reported. Case report: A year old male who underwent laparoscopic fundoplication plus cholecystectomy showed a Bismuth I type biliary injury with common bile duct transection. The injury was diagnosed at the third postoperative day and was reconstructed at the sixth day after surgery using a laparoscopic Roux-en-Y hepatic-jejunostomy with five ports. After 17 months, an open redo of the hepaticojejunostomy was required due to stenosis. Conclusion: Laparoscopic Roux-en-Y hepaticojejunostomy appears to be feasible and safe for a selected group of patients with biliary injuries. Patients like the one reported are ideal candidates to consider a laparoscopic approach. Farello et al.

Related Articles