hepaticojejunostomy
Pronunciation: hep-at-ih-ko-jej-oo-NOS-toh-mee
Surgical anastomosis between hepatic duct and jejunum, commonly performed in pancreaticoduodenectomy reconstruction.
Full Definition
Hepaticojejunostomy is a surgical procedure that creates a connection between the hepatic duct system and a loop of jejunum, typically performed to restore biliary-enteric continuity. This anastomosis is a standard component of pancreaticoduodenectomy reconstruction and may also be performed for benign biliary strictures, bile duct injuries, or choledochal cysts. The procedure can be performed as an end-to-side or side-to-side anastomosis, with careful attention to maintaining adequate blood supply and creating a tension-free connection. Success depends on proper technique to prevent stenosis, leak, or cholangitis.
Usage
Usage note: Specify anastomotic technique (end-to-side, side-to-side) when documenting.
In Context
- "End-to-side hepaticojejunostomy was performed using interrupted absorbable sutures." — operative report
- "Post-operative cholangiography confirmed patency of the hepaticojejunostomy without leak." — imaging report