Hepatocholecystoenterostomy

Hepatocholecystoenterostomy (HCE) is a surgical procedure that involves creating a connection between the liver, gallbladder and intestines. It can be performed for various diseases such as cirrhosis of the liver, gallstones or liver cancer.

The purpose of GCE is to remove stones from the gallbladder and improve the flow of bile from the liver to the intestines. The operation can be performed either openly or laparoscopically.

After surgery, the patient may experience abdominal discomfort and back pain. However, thanks to modern technologies and the experience of surgeons, the risk of complications after surgery is reduced to a minimum.

Hepatocholecystoenterostomy is one of the most difficult operations in surgery, so it should only be performed by experienced surgeons.

In conclusion, hepatocholecystoenterostomy is an effective treatment for many gallbladder-related diseases. However, its implementation requires highly qualified surgeons and should be carried out only in specialized centers.



Hepatocholecystoenterostomy: The procedure and its features

Hepatocholecystoenterostomy is a surgical procedure that is performed to create a direct connection between the liver, gallbladder and intestine. The term hepatocholecystoenterostomy comes from the Greek words hepato (relating to the liver), chole (bile), kystis (bladder), enteron (intestine), and stoma (orifice).

The purpose of hepatocholecystoenterostomy is to establish a new path for bile from the liver to the intestine, bypassing the gallbladder. This procedure may be necessary in cases where the gallbladder is unable to perform its function normally or when its removal is not desired.

Hepatocholecystoenterostomy can be performed for a variety of medical reasons. Some of them include:

  1. Bile duct obstruction: If the bile ducts are blocked, bile cannot flow freely from the liver to the intestines through the normal route. Hepatocholecystoenterostomy allows you to create an alternative path for bile, bypassing the blockage.

  2. Gallbladder disease: In cases where the gallbladder suffers from inflammation, stones or other diseases, its removal may be recommended. However, in some situations, gallbladder removal may be technically difficult or carry high risks. In such cases, hepatocholecystoenterostomy may be performed as an alternative to ensure normal bile flow.

  3. Biliary reconstruction: After injury or a surgical procedure, such as removal of a tumor in the bile duct, reconstruction of the bile duct may be necessary to ensure normal flow of bile. Hepatocholecystoenterostomy may be an option for reconstruction.

The hepatocholecystoenterostomy procedure is usually performed under general anesthesia and requires surgical access to the liver, gallbladder and intestine. The surgeon creates a connection between the liver and intestine, bypassing the gallbladder. This can be achieved by creating an ischemic incisor on the liver and intestine, and then connecting them.

After hepatocholecystoenterostomy, the patient may require a certain period of recovery and postoperative care. It is important to follow your doctor's instructions regarding diet, physical activity, and taking prescribed medications.

As with any surgical procedure, hepatocholecystoenterostomy is not without risks and complications. Some of the possible complications may include infection, bleeding, scar tissue formation, or digestive problems. It is important to discuss the risks and benefits of the procedure with your doctor before deciding to have a hepatocholecystoenterostomy.

Hepatocholecystoenterostomy is an important surgical procedure that may be necessary to restore normal bile flow in the body. It bypasses the barriers and problems associated with the gallbladder and allows patients to lead an active and healthy life. However, the decision to perform hepatocholecystoenterostomy should be made individually in each specific case, taking into account the patient's condition and the recommendations of an experienced medical specialist.