Hepaticoduodenostomy

Hepaticoduodenal stoma: Modern understanding of surgery

Hepaticoduodenal stoma (HDS) is a surgical operation that involves creating a connection between the gallbladder and the duodenum. This procedure is used for gallbladder diseases that

Hepaticoduodenal stoma (hepaticoduodenal stoma, hepaticoduodenstomy)

**Hepaticoduodeniostomy** is a surgical operation aimed at creating a connection between the right, free surface of the liver and the duodenal bulb for the treatment of liver cirrhosis and obstructive jaundice. Previously, this operation was considered a fairly effective method of treating diseases. However, new surgical methods are currently being used. In this article we will try to talk about the methodology for carrying out this operation.

What kind of surgery is done for hepaticoduodestomy?

Hepatico-duodenal, or hepaticoduodenal stoma, is done in cases where these two organs are not connected to each other. To do this, first, two adjacent ducts are ligated - the cystic and gall bladder (this is aimed at stopping bile from flowing from the gallbladder into the duodenum). After this, the patient is prescribed a slag-free diet and is prepared for the next procedure. The procedure itself is as follows: the abdominal wall is cut along a conventional line, the liver is soldered to a loop of intestine, which is transported there, and then, having ligated the vessels and the duodenum and sigmoid colon, the latter is brought out to the place of the portal of the liver. In this way, two new loops are formed - hepatic and intestinal-sigmoid, the so-called stoma. This occurs in order to ensure the uninterrupted functioning of the liver in the synthesis of bile, since it ceases to have its source, but bile transferred through the small intestine to the large intestine is still formed.